Confédération Internationale de la Pêche Sportive XXXVI CIPS

Confédération Internationale de la Pêche Sportive
Association déclarée, Tribunal de Rome n. 606/2008
Fondée en 1952
XXXVI CIPS CONGRESS
CANCUN (Mexico) - Saturday, 18th April 2015
PROXY
To be delivered on April, the 18th at the registration
I the undersigned :………………………………….………………………………………………
Representative of : …………………………………………………………………………………
Address : …………………………………………………………………………………………..
Affiliated to
FIPS Eau Douce
FIPS Mer
FIPS Mouche
Hereby delegate: SURNAME ………………………..… NAME………………………………..
FEDERATION ……………………..……………………………………………………………..
To :
¾ Attend the XXXVI CIPS Congress;
¾ Take part in all decision making and voting on Agenda items;
¾ Sign all attendance sheets.
Drafted in
Date
Signature
Siège social - Viale Tiziano, 70 - 00196 Roma - Tel. +39 06 87980517 - +39 06 87980514 - Fax +39 06 87980087
[email protected]
[email protected]
Membre de l’Association des Fédérations Internationales de Sports (Sport Accord)
Member of the General Association of International Sports federations (Sport Accord)