DOCC PROXY - AGM 2013/2014 Please complete all fields below Member’s Name Address City Province/State Phone
Postal Code/Zip Home Work
DOCC Member Number: Signature:
Date :
DOCC Annual General Meeting I hereby appoint: to have my proxy and to vote on my behalf:
DOCC Member Number:
a) On all matters brought before the Annual General Meeting OR b) On the following matters and/or resolutions brought before the Annual General Meeting. 1. 2. 3. 4. 5. 6. 7.
FORM:DOCC Proxy Form