PROXY
<sample>

I hereby revoke all previous proxies and appoint  <name>  or if no one is named the Board of Directors to act as my proxy and vote in my place at the meeting of the members to be held on   <date>   at   <time>  , at    <address>   , and at any adjournment thereof. My proxyholder shall vote as indicated on the attached page.

Member's Signature: _______________________________________

Address: _________________________________________________

Date:                    

................................ Separate Page ...................................

I AUTHORIZE my proxy to vote as follows:

 1.  c  ABSTAIN from voting (use for quorum purposes only), or

 2.  c  VOTE at proxyholder's discretion, or

 3.  c  VOTE as follows:

ELECTION OF DIRECTORS. You may vote for only 3 persons by placing an r in the boxes next to their names. If you make a mistake, cross out the error and initial the change. DO NOT vote for more than 3 persons.

        c                  <nominee>                 

        c                  <nominee>                 

        c                  <nominee>                 

        c                  <nominee>                 
        c                  <nominee>                 

<Disclaimer: This form is for informational purposes only and may not be appropriate for your particular needs. You should seek legal counsel before using the form.>