Selected Coordination Group Members

The following form should be completed by each community represented in the Coordination Group, per the number of seats allocated.

Please only include information on the individuals selected to represent your community.

To add additional members, please check the box below the "Geographic Region" field. Names of selectees should be provided no later than 23:59 UTC on 2 July 2014.

* Important note: Selected individuals who require ICANN travel support to attend the Coordination Group meeting in London on 17-18 July 2014 should submit the following form to cgtravel@icann.org. See community travel support guidelines for more information.

Member One

Member Two

Member Three

Member Four

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