ICOM

 

ATTENDANCE FORM

To be returned to the ICOM Secretariat before 15 April 2003

UNESCO House, 1 rue Miollis, 75732 Paris Cedex 15, France

[Fax: (33.1) 43.06.78.62]   -   Email: secretariat@icom.museum

 

I, ………………………………………………………………………………………………...

* Chairperson of Committee / Regional Organisation:………………………………………….

Country:…………………………………………………………………………………………

  shall attend
  shall not attend
  (1) shall be represented at

 

 

 

the 64th Session of the Advisory Committee of ICOM from June 2 to June 4, 2003 in Paris (France)

* WARNING: only Chairpersons can give a proxy (1 proxy per member, art. 21 para. 4)


(1) PROXY

I hereby appoint:

Name:…………………………………………… Position:…………………………………….

Committee / Regional Organisation:…………………………………………………………….

Country:…………………………………………………………………………………………

 

to act as my proxy during the 64th Session of the Advisory Committee of ICOM from June 2 to June 4, 2003 in Paris (France). He/She is a member of ICOM.


Date:                            Signature: