Proxy Voting Form – Prima Nota Proxy Voting Form I, (Full name of member), being a member of Prima Nota Inc., hereby appoint: Proxy Holder Name (Full name of proxy holder, must also be a member) as my proxy to vote on my behalf at the Special General Meeting of Prima Nota Inc. to be held on: Date Location I direct My proxy may vote on any motion at their discretion. My proxy to vote in favour of the resolution. My proxy to vote against the resolution. Witnessed by (optional) Signature I would like to receive a copy of my submission Your Email Print / Send as PDF
