MEMBER VOTER VERIFICATION/IDENTIFICATION

By submitting this ballot I hereby certify that I am 16 years of age or older and a member in good standing of Bridge Credit Union, Inc.

For your vote to be counted:
1. Vote for three (3) candidates.
2. One ballot per member/account holder.
3. Voter verification/identification must be completed accurately.
4. Ballot must be received by March 18, 2021.

Question Title

1. LAST FOUR DIGITS OF YOUR SOCIAL SECURITY NUMBER (Required.)

Question Title

2. YOUR NAME (Required.)

Question Title

3. YOUR BIRTH DATE (Required.)

Date

T