I hereby revoke all previous proxies and
appoint
<name> or, if no one is named, the Board of Directors to act as my proxy and vote in my place at the
meeting of the members
to be held on
<date> at
<time> , at
<address> ,
and at any adjournment thereof. My proxyholder shall vote as indicated on
the attached page.
Member's Signature: _______________________________________
Address: _________________________________________________
Date:
................................ Separate Detachable Page ...................................
I AUTHORIZE my proxy to vote as
follows:
1. ___ ABSTAIN
from voting (use for quorum purposes only), or
2. ___ VOTE
at proxyholder's discretion, or
3. ___ VOTE
as follows:
You may vote for
only 3 persons by placing a check mark or an "X" next to their names. If you
make a mistake, cross out the error and initial the change. DO NOT vote for
more than 3 persons.
- ___ <nominee's name>
- ___ <nominee's name>
- ___ <nominee's name>
- ___ <nominee's name>
<NOTE: The person designated as proxyholder must be a member of the association. In addition, proxies cannot be mailed to the association inside ballot envelopes. They must be delivered to the proxyholder, who must attend the meeting on the proxygiver's behalf.>