AGM Proxy 2023

The undersigned hereby appoints the following member as proxy, with power of substitutions, to attend and vote and otherwise act for the undersigned at the Annual and General Meeting of Members to be held on November 9, 2023 and at any adjournments. The undersigned revokes any proxy previously given.*

Rose Cavaliere
Richard Orr
Other

Please provide the name of the member you are assigning proxy to

1) This proxy confers authority for the above named to vote in his or her discretion with respect to amendments or variations to the matters identified in the notice of the meeting accompanying this proxy or other matters which may properly come before the meeting.

2) Each member has the right to appoint such a person to represent him or her at the meeting other than the persons specified above. Such right may be exercised by inserting in the blank space provided the name of the person to be appointed who need not be a member of the Corporation.

Please file no later than Wednesday, November 8, 2023 at 1:30 p.m. EST.

Please Enter Your Name*

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Provide Your Broker License # (numbers only)*

The undersigned member hereby certifies that they have read and understood the provisions of the Registered Insurance Brokers Act, its Regulations and By-laws and will act in accordance with those provisions. The undersigned confirms and consents that the vote captured herein by RIBO is their sole vote for one of the above candidates and acknowledges that any further submissions will not be counted in this election.

Your eSignature*