NOTE: This form is to waive notice of the special meeting of Shareholders.

This form must be

sent to, and signed by, each Shareholder. If the waiver is used, the notice and affidavit of
notice are not required.

WAIVER OF NOTICE OF SPECIAL MEETING OF SHAREHOLDERS OF

__________________<Company Name>____________________

I, the holder of <Number> shares of stock of <Company Name>, do hereby waive any required
notice of the special meeting of the Shareholders of this Corporation, and consent to the holding
of the meeting that is scheduled to be held on <Date>, at <Time>.

I hereby consent to the holding of such meeting and to the Shareholders transacting business at
such meeting.

Dated: __________

___________________________, Shareholder