SPECIAL POWER OF PROXY
Name: _______________________________________________
Address: _____________________________________________
City/State/Zip: _________________________________________
I hereby appoint _____________________________________as my Agent, and provide
him/her with full power and authority to vote my proxy on any matters relating
to the Chicago Megabuck Investment Club meeting
on____________________(Date)
My Agent shall:
Not be liable for any loss that results from a judgment error that was made in good faith;
Not be entitled to any compensation for any services provided as Agent;
Provide an accounting for all acts performed as my Agent, if I so request, or if an authorized personal representative or fiduciary acting on my behalf makes such a request.
_____________________________________________
Signature
Date
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