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7/30/2010  
  Ballot for Bulletin Numbers 165 and 166

Bulletin 165 Election of MAIPF Board of Governors for 2010-2011
 
Bulletin 166  MAIPF Plan of Operation Amendment | Current Plan

2010 Vote Weights (PDF) | Vote Weights (interactive)  | Ballot/Proxy
 Online Voting Deadline is March 18, 2010

Member Company:
NAIC#:  
# of Votes:  

Complete any blank fields.
If information is incorrect, please update our records.
Name:   
Company Name:
Title:  
Address  
City, State Zipcode:      
Telephone Number: Fax:      
E-mail Address:    
Any change in ownership or status?  
Completed By:         


Please record our company weighted vote as follows: 
  Bulletin 165
   Bulletin 166
Submit one ballot for each company.

If you have any problems with this form, please call 734.464.1100 x 222 or send ane-mail message.
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Michigan Automobile Insurance Placement Facility | 17456 Laurel Park Drive N, Suite 130E |  Livonia, MI 48152-3981 |  734.464.1100