PROXY FOR ANNUAL MEETING OF SHAREHOLDERS
I certify that I am the owner of __________ shares of the stock of _______________________, Inc., and I hereby appoint ________________________ proxy with full power of substitution and revocation, to attend and represent me at the ___________________________, Inc. shareholders annual meeting of to be held on ______________. ________________________ may vote my shares on any question, resolution, proposition, or any other business that may come before the body upon which I would be entitled to vote if I were present. This proxy shall be considered null and void if I personally attend the above mentioned meeting.
Shareholder Signature Date
These forms are provided AS IS. They may not be any good. Even if they are good in one 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.