Form: GBI Standard Development Proxy Authorization Form

Your Name(Required)

First Last

Today's Date(Required)

Date of meeting for which you require a proxy(Required)

Consensus Body

Subcommittee

Your interest category for the Consensus Body

Proxy's Name(Required)

First Last

Proxy's Organization(Required)

Proxy's interest category for the Consensus Body

Must be the same interest category for all Consensus Body meetings to ensure compliance with ANSI procedures.

Has this individual served as a proxy for you before?(Required)

Yes

No

The proxy shall vote in the following manner:(Required)

Abstain

Mirror

Other