The undersigned Regular Member of Pickering F.C. Inc. hereby nominates, constitutes and appoints ED WHITEHEAD, Pickering Football Club Vice President or failing him, ROSLYN LAVOIE, Pickering Football Club Secretary, or full name as my proxyholder with full power of substitution, to attend, vote and otherwise act for and on behalf of the undersigned in respect of all matters that may properly come before the above dated Annual General Meeting of members. Email Address of Proxy Holder: email Phone Number of Proxy Holder: phone number WITHOUT LIMITING THE GENERAL AUTHORIZATION AND POWER HEREBY GIVEN, THE NOMINEE NAMED ABOVE IS SPECIFICALLY DIRECTED TO VOTE OR WITHOLD FROM VOTING ALL OF THE VOTE(S) IN THE NAME OF THE UNDERSIGNED AS INDICATED BELOW.