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Back to Forms for 'Power of Attorney'.


REVOCABLE PROXY

REVOCABLE PROXY

 

For payment of one dollar ($1) and other compensation, I hereby confer upon ________ _____________________________ a proxy to vote ________________ ( ___ ) shares of _____________________ (hereinafter "Corporation") in my stead and on my behalf at the Corporation shareholders' meeting to be held on _____________________, and at all subsequent regular and special meetings of shareholders of the Corporation.  Said person shall have all the power to vote and attend meetings as I currently enjoy.  Until this proxy is revoked, which act may be executed without notice, I shall not vote the shares represented.

 

 

 

_______________________________                ________________

Signed                                                                    Date

 

 

 



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