April 16, 2013 AGM Proxy Form

PROXY The undersigned member of Habitat for Humanity Sunshine Coast hereby appoints ___________________________________________________________ of Habitat for Humanity Sunshine Coast, or failing the person appointed above, ___________________________________ as the proxy of the undersigned to attend and act at the ____________________ meeting of the said Society to be held on the ____________day of ___________ , and at any adjournment or adjournments thereof in the same manner, to the same extent and with the same power as if the undersigned were present at the said meeting or such adjournment or adjournments thereof. Dated _____________________________________________________________ Signature of member_________________________________________________