CSCI-RA AGM Proxy Form 2022

A. Complete this section to appoint a Proxy Holder

CSCIRA AGM Friday, April 22, 1200-1400 EST

1. CSCIRA Member Email *This question is required. This question requires a valid email address.

2. Appointment of Proxy *This question is required.

I, (Your First Name/Last Name)

3. being a member of CSCIRA and entitled to attend and vote hereby appoint:
*This question is required.

Please enter an 'other' value for this selection.

as my proxy to act generally at the meeting on my behalf and to vote in accordance with the following directions (or if no directions have been given, as the proxy sees fit) at the CSCIRA Annual General Meeting on Fri. April 22, held virtually, from 1200-1400 EST.