________
PROXY FORM
1. Nomination
I, , the undersigned shareholder of ________ (hereinafter the "Corporation"), whose latest address as shown in the records of the Corporation is:
and having Common Share(s) in the capital of the Corporation, hereby appoint, in my absence, ________ (the "Proxyholder"), whose address is as follows:
________
and in the event ________ is unwilling or unable to act as such Proxyholder, I hereby appoint ________, whose address is as follows:
________
to be my Proxyholder in order to attend and act at a meeting of the Corporation on my behalf.
2. Powers
The shareholders of the Corporation shall hold an annual meeting on ________, which shall take place at the following location:
________
This Proxy is being solicited by management of the Corporation.
This Proxy grants the Proxyholder the following powers:
1. The power to cast votes in relation to resolutions of the Corporation;
2. The ability to attend such meeting and vote on matters at the meeting, whether by show of hands or by ballot;
3. The ability for the Proxyholder to make decisions on behalf of the undersigned shareholder in the manner as the Proxyholder sees fit. For greater certainty, the Proxyholder shall have broad powers, and shall have unfettered discretion in the making of decisions that impact the Corporation.
5588 25252 88 85885 2282 225 252 2222822 225 85885 82 88 222525 25 52 52 55225522222 22 8585 2222822.
3. 582252552
5, 252 52525882225, 525282 528222 522 525 588 25288258 2525828, 82 522, 882225 82 22.
This Proxy is being signed, either by written or electronic signature, pursuant to the provisions of the Canada Business Corporations Act - R.S.C., 1985, c. C-44 (or any consolidation, repeal, amendment or substitute therefor).
Executed on:
____________________
Date
____________________
This signed Proxy will be deposited with the Corporation (or electronically if required) or an agent thereof at the following address at a time specified in the bylaws or consistent with the aforementioned Act:
________
________
________
PROXY FORM
1. Nomination
I, , the undersigned shareholder of ________ (hereinafter the "Corporation"), whose latest address as shown in the records of the Corporation is:
and having Common Share(s) in the capital of the Corporation, hereby appoint, in my absence, ________ (the "Proxyholder"), whose address is as follows:
________
and in the event ________ is unwilling or unable to act as such Proxyholder, I hereby appoint ________, whose address is as follows:
________
to be my Proxyholder in order to attend and act at a meeting of the Corporation on my behalf.
2. Powers
The shareholders of the Corporation shall hold an annual meeting on ________, which shall take place at the following location:
________
This Proxy is being solicited by management of the Corporation.
This Proxy grants the Proxyholder the following powers:
1. The power to cast votes in relation to resolutions of the Corporation;
2. The ability to attend such meeting and vote on matters at the meeting, whether by show of hands or by ballot;
3. The ability for the Proxyholder to make decisions on behalf of the undersigned shareholder in the manner as the Proxyholder sees fit. For greater certainty, the Proxyholder shall have broad powers, and shall have unfettered discretion in the making of decisions that impact the Corporation.
5588 25252 88 85885 2282 225 252 2222822 225 85885 82 88 222525 25 52 52 55225522222 22 8585 2222822.
3. 582252552
5, 252 52525882225, 525282 528222 522 525 588 25288258 2525828, 82 522, 882225 82 22.
This Proxy is being signed, either by written or electronic signature, pursuant to the provisions of the Canada Business Corporations Act - R.S.C., 1985, c. C-44 (or any consolidation, repeal, amendment or substitute therefor).
Executed on:
____________________
Date
____________________
This signed Proxy will be deposited with the Corporation (or electronically if required) or an agent thereof at the following address at a time specified in the bylaws or consistent with the aforementioned Act:
________
________
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