This reply-coupon is :

- IF YOU WILL PARTICIPATE IN THE ANNUAL MEETING: to confirm your participation
- IF YOU WILL NOT PARTICIPATE IN THE ANNUAL MEETING: to submit a proxy and designate your representative (if you are a dues-paying member and your membership is up to date)

This page is to be printed and faxed to : +33 9 55 29 00 22

or cut and paste the text below and send it to EFN by e-mail by clicking here (spam prevention: replace [at] by @ in the email destination)

 

________________________

 

CONFIRMATION OF YOUR PARTICIPATION

AND PROXY

for the Annual Meeting of EFN
to be held on Saturday 23rd November 2013, at 4:00 PM at 55 rue Victor Hugo, in Houilles (France)

 

 

First name and NAME : ____________________

 

 

I am a dues-paying member of : EFN  / AEPN

(click on the link to subscribe or to update your membership)

 

O I will be present at this Annual Meeting of EFN and EFN-USA.

O I will not be present at this Annual Meeting of EFN. My membership is valid (dues paid) and I wish to be represented by : ___________________ for all votes of the Annual Meeting - your representative must be a member of EFN with a valid membership - procurations in blank will be represented by the Founding Members, with age priority (priority to the oldest).

 

At (location) : ____________ Date : __________

 

Signature : _________________________