If you are unable to attend the meeting and choose to assign a Proxy Holder, please complete this Proxy Form no later than noon on the scheduled day of the Annual or Special Meeting.
with power of substitution, to attend and vote for and on behalf of the undersigned at
the next General Meeting of the Club to be held on the date below, and at any adjournment thereof, with full power to the said proxy to waive notice of such meeting on
behalf of the undersigned and hereby revokes all proxies previously given in connection with
such meeting.