Instructions: if you are unable to attend the Extraordinary General Assembly, you may designate a proxy for your vote by completing and signing the form. One member is allowed to proxy for up to two other members only.

As our bylaws are governed by Belgian Law so the proxy form is in both English and French, but very simple to complete. Fill in your name and address in the top portion, then fill in the name and address of the person designated as your proxy in the lower section.

in her capacity of full member of the non-profit association " The American Women's Club of Brussels " (the Association), with registered office at Rue Théophile Delbar 8a, 1410 Waterloo/en sa qualité de membre effectif de l'association sans but lucratif << The American Women's Club of Brussels " (l'Association), dont le siège social est établi à Rue Théophile Delbar 8a, 1410 Waterloo, hereby empowers, with the right of substitution, as her proxy holder/désigne par la présente comme son mandataire, avec le droit de substitution:

1. Approval of Board to undertake action as a result of the July 2021 Membership Survey results/Approbation du conseil d'administration pour prendre des mesures à la suite des résultats du sondage auprès des membres de juillet 2021

2. Approval of the extension of the mandate for existing Board members/Approbation de la prolongation du mandat des membres actuels du Conseil

3. Approval of new Board members/Approbation des nouveaux membres du Conseil