Dear IPOS Member

If you are unable to attend the IPOS Annual General Meeting scheduled for June 29 at 8:30 a.m. (EDT) please complete this proxy so we can ensure a quorum is formed.
Please note that only current members that hold an ACTIVE or Early Career Psycho-Oncology Professionals (ECPP) membership are eligible to vote and submit for proxy.

Question Title

* 1. Personal Information

Question Title

* 2. As a current voting member of the IPOS, I hereby appoint as my proxy to attend and act on my behalf at the annual general meeting of the Corporation, to be held the 29th day of June, 2021 and at any adjournment or adjournments thereof in the same manner and to the same extent and with the same power as if the undersigned were present at the said meeting or such adjournment or adjournments thereof.

Please select only one person to serve as your proxy: