RIPE NCC General Meeting April 2006

Proxy Vote Registration Form

If you are unable to attend the RIPE NCC General Meeting and would like someone to attend to vote on your company’s behalf, you may nominate a proxy voter.

To do this please print, fill in and fax the following to:

RIPE NCC Fax: +31 (0) 20 535 4445
Or send it by post to:

RIPE NCC
P.O.Box 10096
1001 EB Amsterdam
The Netherlands

For more details, please see the
RIPE NCC Articles of Association article 16.4.

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On behalf of the RIPE NCC Member _____________________________(company)

with LIR Reg-ID ______________________________________________________

I am pleased to inform you that we will be represented by 

Mr./Ms. _______________________________________________________(name)
           

Date of Birth ___________________________________________(for ID check)

at the RIPE NCC General Meeting on 26 April 2006. 

The above person is authorised to represent our company in this matter.

LIR contact: 

Signed _________________________(name)______________________(job title)

Date ____________________________ at ________________________(location)

Proxy voter: 

Signed _________________________(name)______________________(job title)

Date ____________________________ at ________________________(location)

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