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