Free Board of Director Proxy Form Template

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Free Board of Director Proxy Form Template

Board of Director Proxy Form

Please complete the details below and sign where indicated.

Shareholder Information

Name

    Email

      Phone Number

        Proxy Appointment

        I, the undersigned, appoint the following individual as my proxy:

        Name of Proxy

          Proxy's Email

            Proxy's Phone Number

              Meeting Details

              Date

                Location

                  Proxy's Voting Authority

                  Please indicate whether your proxy has full authority to vote or if there are any restrictions.

                  • Full Voting Authority

                  • Limited Voting Authority

                  For limited voting authority, please specify restrictions

                    Shareholder's Name:

                    Date:

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