Extraordinary Virtual AGM

REGISTRATION FORM

The Extraordinary Virtual AGM will take place on September 27, 2023 from 14.00 – 17.30 CEST.

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* 1. Email address

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* 2. First name (as it appears on your passport)

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* 3. Last name (as it appears on your passport)

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* 4. Is your organization a Member of ECPC?

Yes

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* 5. Are you Full or Associate Member?

Full Member

Associate Member

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* 6. Name of organization (in English)

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* 7. Country (Where organization is legally based)

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* 8. Registered Address (Where organization is legally based)

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* 9. Are you the legal representative of the organization?

Yes

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* 10. I confirm I will attend the ECPC AGM on Wednesday, 27 September 2023, and will be voting on behalf of the organization

Yes, I confirm.

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* 11. I will be acting as Proxy Vote, on behalf of my organization

Yes

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* 12. I will be acting as Proxy Vote, on behalf of another organization:

Yes, I confirm I will vote on behalf of 1 Full Member.

No, I will not.

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* 13. Which organization will you be Proxy Vote for?

Thank you very much for registering. You will receive more information about the logistical aspects closer to the date. See you all on September 27, 2023!