Clone of FUSION AGM 2025 PROXY FORM

PROXY FORM FUSION ANNUAL GENERAL MEETING

September 23, 2026, 7-8 p.m. over Zoom
Please only complete this form and submit it by September 20, 2026 if you are not able to attend the AGM over Zoom.
My Name

First NameLast Name
I am a FUSION Member in good standing with a current paid membership.
I, (please type your name), a member in good standing of FUSION; The Ontario Clay and Glass Association, designate Adeline La or failing her, Catharina Goldnau or in place of them , (any member of FUSION), also a member in good standing, as my proxy for the Annual General Meeting of FUSION: The Ontario Clay and Glass Association, September 23, 2026, with the same powers as I was present at the meeting.
Unless I direct otherwise, the nominee is hereby instructed to vote as specified herein. If no choice is indicated, the proxy will be voted for such matter.

If any amendments or variations are to be voted on, or any further matters come before the meeting or adjournment thereof, I hereby authorize the nominee to vote according to the best judgment of the nominee.
Note: You have the right to appoint a person to represent you at the meeting other than the persons designated in the form of proxy. If you wish to execute this right, insert the name of your nominee in the blank space provided for that purpose in the form of proxy, and strike out the printed names of the nominee.
I approve the appointment of a qualified accounting professional to be selected by the Board to conduct a review engagement of the organization's financial statements for this upcoming fiscal year.
PLEASE CHECK THE APPROPRIATE BOXES FOR THE RE-ELECTION OF DIRECTORS 2026-2028.
Adeline La
PLEASE CHECK THE APPROPRIATE BOXES FOR THE ELECTION OF DIRECTORS 2026-2028.
Tiffany Chan
Hannah Faas
My email
example@example.com
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature
Should be Empty:

PROXY FORM FUSION ANNUAL GENERAL MEETING