Proxy Form Proxy Form OPA PROXY FORM FOR VOTING AT MEMBERS' MEETINGS All members of the OPA have the right to vote at the Annual General Meeting and any other meeting of members where a vote is held. If a member is unable to attend, the Member may complete the Proxy Form below, to authorize another Member to vote on the absent Member’s behalf. Members may only Proxy for one other OPA member at any meeting. This form must be submitted no less than 72 hours before the Meeting it is to be used for.Voter Requesting a Proxy Vote(Required) First Last Name of Person Requesting to cast a vote by ProxyVoter CPU Membership(Required) Voter Membership Expiry Date(Required) Day Month Year certify that I am a member in good standing with the OPA.I hereby give my proxy to:Name of Member to Vote for Proxy(Required) First Last Name of Member to Vote for ProxyCPU Membership of Member Voting at Meeting(Required) Expiery Date of Attending Members CPU Membership(Required) Day Month Year and authorize him/her to vote on my behalf on any item or issue arising at the OPA meeting dated Date(Required) Day Month Year and replaces any and all proxy's I may have issued prior to the date this proxy was signed.Consent(Required) By Checking this Box I consent to the Conditions of Proxy Voting in the OPADate Request Submitted(Required) MM slash DD slash YYYY 55250
