NOTE: This document is used by Shareholders to appoint a proxy.

A proxy is allowed to vote the shares of a Shareholder, if a Shareholder cannot attend a meeting. PROXY FOR ANNUAL MEETING OF SHAREHOLDERS OF __________________<Company Name>____________________ I am the owner of <Number of Shares> of stock in <Company Name>. And I hereby appoint and authorize <Proxy Name> to act as proxy and to vote my shares at the following annual meeting of Shareholders, which will be held: Date: Time: Address: City, State: This proxy shall be void if I personally attend the said meeting. IN WITNESS WHEREOF, I have executed this proxy on the day of <Date>. _______________________ Shareholder