GENERAL PROXY
I, ______________________, being a stockholder of ________________________ (Corporation) (hereinafter "Corporation"), does hereby grant and confer power of attorney and proxy to __________________________ to represent my shares at any and all regular and special meetings of the shareholders of said Corporation. This power of attorney and proxy shall exist for a duration of time not extending beyond ______________________ (Date).
Said proxy will not be limited in exercising all of the rights and privileges as I would regularly enjoy as pertains to voting, discussion, or any other matter arising for consideration and action during business of said meetings, acting on my behalf.
___________________________________ ________________
Signed Date
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