“The
undersigned, as a member of Chimorel Services
Inc, hereby appoints the Executive Director or
his/her designee, the proxy and attorney of the
undersigned, with full power of substitution to
attend all meetings of members and to vote for
me in my place and stead upon all matters properly
coming before such meetings. The undersigned hereby
ratifies and confirms all that said proxy and
attorney may do by virtue hereof. The undersigned
hereby reserves the right to revoke this proxy
at any one or more meetings by attending and voting
three votes in writing at such meeting or meetings.
This proxy will remain in effect for all meetings
which the undersigned does not attend and vote
in writing, except that returning a ballot by
mail/email shall also constitute revocation of
this proxy for and only for the meeting for which
said ballot is returned.”
Your
signature(s) & date below accepts the terms
and conditions for the membership you have applied
for as described on the next screen.
Chief
Executive Officer________________________________
Secretary ___________________________________
Date ___/___/12 |