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ALBERTA I, (name of creditor), of (name of town or city), a creditor in the above matter, hereby appoint , of , to be my proxyholder in the above matter, except as to the receipt of dividends, with (or without) power to appoint another proxyholder in his or her place. Dated at , this day of .

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Keywords relevant to Form 36

  • alberta
  • dividends
  • electronically
  • sender
  • proxy
  • PURDY
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