Form: GBI/ANSI Consensus Body and Subcommittee Appointment of Proxy

GBI/ANSI Consensus Body and Subcommittee Appointment of Proxy Form

Your Name(Required)
MM slash DD slash YYYY

Proxy For

Proxy's Name(Required)
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)
The proxy shall vote in the following manner:(Required)