Form of Appointment of Proxy for the Annual General Meeting

FORM OF APPOINTMENT OF PROXY FOR COMMITTEE OF MANAGEMENT NOVEMBER 2015

I ______(Name) of______(Address) being a financial member of the Mount Alexander Sustainability Group Inc. appoint

______(Name of proxy holder) of

______(Address of proxy holder) being a financial member of that incorporated association, as my proxy to vote on my behalf for ordinary committee of management business during August and September 2014.

I authorize my proxy to vote on my behalf at their discretion in respect of electing members to the Committee of Management and any other properly advised motions of special business.

______(Signed)

______(Date)

I am an Individual ____ Family ____ Business ____ member of MASG. (Please tick appropriate category)