Delega per assemblea .pdf

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Original filename: Delega per assemblea.pdf
Title: Spett
Author: Alberto

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MODELLO DI DELEGA

Il

sottoscritto

____________________

___________________

,

nato

a

________________ , il ______________ , e residente a _________________________ ,
in Via ______________________________, n. _______________,

nella sua qualità di Socio della Cooperativa Agorà, con sede a Rivarolo Mantovano, in Via
Cesare Rossi, 16,
non

potendo

partecipare

all'assemblea

dei

soci

in

programma

il

giorno

_____________________ ,

DELEGA A RAPPRESENTARLO
il Sig. _____________________ _____________________, nato a _________________ ,
il _________________, e residente a __________________________ , in Via
___________________________, in qualità di Socio della Cooperativa Agorà, ritenendo
corretto e valido il suo operato.

Data __________________

Firma
___________________

via C. Rossi 16 – 46017 Rivarolo Mantovano (MN) P.IVA 01629870203
Tel. 0376 957001 Fax 0376 959098

www.cooperativa-agora.it

amministrazione@cooperativa-agora.it


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