AMC19: Proxy Nomination Form Deadline: 31 August 2019 Question Title * 1. Nominating OrganisationThe organisation granting the proxy vote Organisation Name Organisation Country Legal Representative Name Role in the Organisation Legal Representative Phone Number Legal Representative E-mail Address Question Title * 2. Proxy OrganisationThe organisation granting the proxy vote Proxy Organisation Name Proxy Organisation Country Name of the official delegate to be present at the AMC By submitting this form, both the legal representative of the delegating organisation and the delegate of the receiving organisation acknowledge that the full vote of the delegating organisation will be held by the delegate of the receiving organisation.Voting items on the agenda will include:• Motions made my Board and IGLYO Members• Adoption of IGLYO’s annual (activity & strategic) and financial reports• Adoption of IGLYO’s accounts and financial report• Adoption of Work Plan• Adoption of Provisional Budget• Election of candidates to the IGLYO Board• Election of IGLYO AMC21 host organisationMember organisations are advised to discuss their votes in advance. Submit