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IGBO Annual 2023 Proxy- Seattle WA
Welcome
to
the
IGBO
Proxy
.
A
league
or
tournament
may
be
represented
at
a
General
Membership
Meeting
by
proxy
if
neither
the
representative
nor
the
alternate
representative
can
be
present
.
To
designate
a
proxy
holder
,
submit
this
form
prior
to
the
start
of
the
General
Membership
Meeting
.
To be valid, this form must be received no later than 8AM EST Tuesday May 23, 2023. After you SUBMIT the form a confirmation email will be sent to the email address provided. Please review this for accuracy. If you find any typos or corrections, please email
Secretary@IGBO.org
.
Type of Member
*
League
Tournament
Member Name
*
Enter your League or Tournament Name
Location
*
City
*
ST / PR
*
Country
*
(US / CA / AU / NZ / DE / GB)
IGBO Region
*
Please select
North America Heartland
Pacific Northwest
Northeast
Southern
Southwest / Pacific Nations
South Plains
Upper Mississippi Valley
Mid-Atlantic
Rocky Mountain
Person authorizing Proxy Form
*
Name
*
First
Last
Position in League / Tournament
*
IGBO Representative
IGBO Alternate
President
Secretary
Director
Phone No.
*
Email
*
The confirmation email will be sent to this Email Address
Enter Email
*
Designating a Proxy
To
name
a
specific individual
to
represent
your
league / tournament
at
the
GMM,
enter
the
name below
.
A
person
can represent
only
three
(
3
)
members
at
a
meeting
.
Please
verify
that
this
individual
i
s
able
to
repre
s
ent
your
league
/
tournament
before
putting
their
name
on
this
form
.
If
you
leave
this
field
blank
,
a
member
of
the
Board
will
find
a
Proxy
Designee
on
your
behalf
.
Person accepting your proxy
First
Last
IGBO
Attestation
for
e
-
Signature
By checking the box below I certify that I am the person named above and that I am authorized to act on behalf of the named league/tournament
e-Signature Agreement
*
I acknowledge that I have read and agree with the Attestation for e-Signature
Are you human?
*
Send
This field should be left blank
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