excample of the proxy form

HIGH-GRADE NI-CU-PT-PD-ZN-CR-AU-V-TI DISCOVERIES IN THE "RING OF FIRE"

NI 43-101 Update (September 2012): 11.1 Mt @ 1.68% Ni, 0.87% Cu, 0.89 gpt Pt and 3.09 gpt Pd and 0.18 gpt Au (Proven & Probable Reserves) / 8.9 Mt @ 1.10% Ni, 1.14% Cu, 1.16 gpt Pt and 3.49 gpt Pd and 0.30 gpt Au (Inferred Resource)

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bushmills

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excample of the proxy form

posted on Oct 10, 2008 10:15AM

here is an excample of the proxy form (the real one ) some one was asking about

Meeting Date: Tuesday, October 28, 2008 for holders as of September 22, 2008

CUSIP:xxxxxxxxx

Your Control Number: xxxxxxxxxxxx

As your vote is very important, we need to receive your voting instructions at least one business day before the voting cut-off time stated in the information circular ( the "Electronic Ballot Cut-off"). Instructions received after the Electronic Ballot Cut-off may not be accepted by the tabulators.

RICHARD NEMIS, KEVIN FEENEY

You may appoint a person to attend, vote and act on your behalf at the Meeting, or any adjournment thereof, other than the person(s) specified above.

To exercise this right, insert your name or the name of the person attending the Meeting in the space below.

Appointee Name:

Appointee(s):

Electronic Ballot:

Voting Recommendations:
Click on the button below to vote as recommended in the information circular.
See below or refer to the information circular for the detailed recommendations. Please read them carefully.
Otherwise, mark your selections then select the vote option below.

Vote as recommended in the information circular

01.

TO CONSIDER AND, IF DEEMED ADVISABLE, TO FIX THE NUMBER OF DIRECTORS TO BE ELECTED AT THE MEETING AT SEVEN (7).

	Voting Recommendation: FOR
	For Against

02.

TO ELECT AS DIRECTORS OF THE COMPANY THE SEVEN INDIVIDUALS IDENTIFIED AS MANAGEMENT'S PROPOSED NOMINEES IN THE ACCOMPANYING MANAGEMENT INFORMATION CIRCULAR OF THE COMPANY.

	Voting Recommendation: FOR
	For Withhold

03.

APPOINTMENT OF MSCM LLP AS AUDITORS OF THE COMPANY FOR THE ENSUING YEAR AND AUTHORIZING THE DIRECTORS TO FIX THEIR REMUNERATION.

	Voting Recommendation: FOR
	For Withhold

04.

TO CONSIDER AND, IF DEEMED ADVISABLE, TO ADOPT, WITH OR WITHOUT AMENDMENTS, AN ORDINARY RESOLUTION RATIFYING AND CONFIRMING THE STOCK OPTION PLAN OF THE COMPANY (THE "STOCK OPTION PLAN"), THE FULL TEXT OF WHICH RESOLUTION IS SET OUT IN THE ACCOMPANYING MANAGEMENT INFORMATION CIRCULAR OF THE COMPANY.

	Voting Recommendation: FOR
	For Against