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WordStar Document  |  1993-08-01  |  768b  |  17 lines
  1.  
  2. PROXY 
  3.  
  4. __________________________, a director of ____________________,
  5. herewith appoints and designates as his proxy __________________,
  6. for a meeting of the board of directors scheduled for ____________
  7. ________,  with the full right and authority to vote in the place of
  8. _____________________, provided, however, that there is no right of
  9. substitution. 
  10.  
  11. Dated: ______________________ 
  12.  
  13.  
  14.  
  15. __________________________________________ 
  16.                            
  17.