Warning:
These forms are provided AS IS.  They may not be any good.  Even if they are good in one state or jurisdiction, they may not work in another.  And the facts of your situation may make these forms inappropriate for you.  They are for informational purposes only, and you should consult an attorney before using them.

AUTHORIZATION OF PROXY TO VOTE SHARES

I, the undersigned, owner of Share Certificate No. ______________, representing ____ shares of stock in the _________________________________ Corporation, authorize ____________________________________ to vote the aforementioned shares at the ___________________________________ Corporation shareholders' meeting to be held at _______________.m., on _______________________ at the Corporation's offices at:

_______________________________________

_______________________________________

By authority of this proxy, __________________________, shall have the right to vote on any and all business that may come before the body at the aforementioned meeting.

__________________________________ _____________________

Signature Date

Warning:
These forms are provided AS IS.  They may not be any good.  Even if they are good in one state or jurisdiction, they may not work in another.  And the facts of your situation may make these forms inappropriate for you.  They are for informational purposes only, and you should consult an attorney before using them.