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PROXY SPINE PAIN MANAGEMENT, INC. THIS PROXY IS SOLICITED ON BEHALF OF THE BOARD OF DIRECTORS FOR THE ANNUAL MEETING OF STOCKHOLDERS TO BE HELD ON MAY 11, 2011, The undersigned hereby appoints William

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How to fill out this proxy is solicited

How to fill out this proxy is solicited:

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First, carefully read and understand the instructions provided on the proxy form. Make sure you are aware of the purpose and legal implications of appointing a proxy.

02

Fill out the personal information section of the proxy form accurately. This includes your full name, address, contact details, and any other requested information.

03

Indicate the name of the person you are appointing as your proxy. This should be someone you trust to represent your interests and make decisions on your behalf.

04

Specify the duration of the proxy. Decide whether you want the proxy to be effective for a specific meeting or for a longer period of time.

05

Sign and date the proxy form. This serves as your confirmation and authorization.

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If there are any additional requirements, such as providing identification or witnessing, ensure you fulfill them accordingly.

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Submit the proxy form as instructed, whether it's through mail, email, or any other specified method.

Who needs this proxy is solicited:

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Shareholders: If you are a shareholder of a company and cannot attend a shareholders' meeting, you may need to fill out a proxy to authorize someone else to vote on your behalf.

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Association members: In certain associations or organizations, proxy voting may be allowed to ensure representation and decision-making even if members cannot personally attend meetings.

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Proxy holders: Those who are appointed as proxies may need the proxy is solicited to understand their roles, responsibilities, and obligations while representing the interests of others.

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