Waiver Of Notice Of Special Meeting _Individual Shareholder_

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WAIVER OF NOTICE OF SPECIAL MEETING (INDIVIDUAL SHAREHOLDER) I, [SHAREHOLDER’S NAME], the holder of [N] shares of stock of [COMPANY NAME] Corporation, do hereby waive notice of the special meeting of the shareholders of [COMPANY NAME] Corporation, and consent to the holding of the meeting that is scheduled to be held on the following date and time and at the following location: Date: [DATE] Time: [TIME] Suite: [SUITE] Street: [STREET] City & State: [CITY AND STATE] I understand that the sole purpose of the meeting shall be to discuss and vote upon the following resolution that has been adopted by the Board of Directors and that is to be put before the shareholders for their approval: It is my understanding that no other matters will be placed on the agenda of the special meeting, and this waiver of notice and consent to the holding of the above-mentioned special meeting is given on that understanding. Dated: [DATE] ______________________ (Signature)

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