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- GENERAL PROXY
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- The undersigned of ______________, being a stockholder of
- ______________________ Inc., does hereby constitute and appoint
- as the lawful attorney, agent and proxy of the undersigned the
- following named person:__________________ for a period of
- ______________ from the date hereof, to represent the undersigned
- at any and all stockholders meetings of ____________________
- Inc., and at any adjournment thereof, within ____________ from the
- date hereof, to act for and in the name, place and stead of the
- undersigned on all matters and things which may be presented for
- action or consideration at such meetings, giving and granting
- unto said attorney and proxy as full power in all respects as the
- undersigned could exercise if present in person.
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- The undersigned hereby ratifies all that his attorney and
- proxy may or shall lawfully do in voting at any such meetings, or
- at any adjournment or adjournments thereof, within the period of
- time specified, in respect of all matters, proposals and
- questions that may properly come before the stockholders for
- consideration and action.
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- Dated:
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- ________________________________ __________________________
- Witness
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- Form 618
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