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US TAG VOTING FORM
FOR MISCELLANEOUS REQUESTS FOR COMMENT/VOTE

Document: ____________________

TO:
Submit your Technical Advisor's/Deputy Technical Advisor's contact details:

NAME: _____________________________________

COMPANY: _____________________________________ 
        
FAX NUMBER: _____________________________________

E-MAIL ADDRESS:  _____________________________________
           

FROM:
Submit YOUR OWN contact details:

NAME:  _____________________________________ 
           
COMPANY:  _____________________________________ 
           
TELEPHONE:  _____________________________________
           

VOTING DETAILS:
Submit your ballot response

_____ I APPROVE (comments, if any, attached)

_____ I DISAPPROVE (reasons for disapproval attached)

_____ I ABSTAIN