Proxy
TO: (the “Corporation”)
The undersigned, shareholder of the Corporation, hereby appoints (the "Proxy") as proxy of the undersigned to attend and vote on behalf of the undersigned at all meetings of Shareholders of the Corporation, in the same manner, to the same extent and with the same power as if the undersigned were present at the said meetings. The undersigned may, by written notice given to the Proxy, revoke and thereby terminate the rights granted to the Proxy hereunder.
Dated: