BrisBricks Inc. Proxy Appointment Form
The information on this form will be automatically merged into a proxy template document and emailed to you.

You are then required to forward (via email is fine), the proxy form to the secretary prior to the meeting, as per the BrisBricks Inc. constitutional rules.
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Email *
Your full name *
Your address *
Full name of appointed proxy *
Address of appointed proxy *
Date of the (Annual) General Meeting *
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/
DD
/
YYYY
Signature (Signed as your full name) *
Specific Voting Directives
As per BrisBricks Inc. constitutional rules section 40 (6)
- Unless otherwise instructed by the appointer, the proxy may vote as the proxy considers appropriate.
If applicable, list the specific resolutions of which this proxy form directs a vote in favour
If applicable, list the specific resolutions of which this proxy form directs a vote against
A copy of your responses will be emailed to the address you provided.
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