Proxy Form for Cibca AGM

 

 

Proxy Form

 

  

I, ……………………………………………

 

being a Member of the Czech Irish Business & Cultural Association, hereby

 

appoint  ……………………………………………………

 

my Proxy at the Annual General Meeting of the Czech Irish Business & Cultural Association to be held at the Embassy of Ireland, Tržiště 13, Prague 1 on Thursday 15th October at 18.00 with full discretion to vote on my behalf.

 

 

Signed: …………………………………………….

 

Date: ………………………………………………..

 

 Completed Proxy Forms must be lodged with Ladislav Muller, (Ladislav Muller (Ladislav.Muller@enterprise-ireland.com)Honorary Secretary, Embassy of Ireland, Trziste 13, Prague 1 before Monday 12th October 2015.