Proxy Declaration

  • I,
  • , of legal age, being a member of Shell Club15 Plus, Inc. (the “Club”) hereby appoint (please check only one box below and/or write the name of proxy choice):
  • to represent me in my name, place and stead at the Annual or Special Meeting of the members of the Club and/or at any deliberation, vote on any resolution, and, generally, to exercise at said meeting all those said meeting and to do any acct in connection with the representation hereby authorized which may be necessary or useful therefore.

    This Proxy is effective for five (5) years, from February 1, 2026 to January 31, 2031, to be used only for the purposes of amending the AOI and By-Laws of Shell Club15 Plus, Inc. and ratifying the acts of the Board. It will not preclude me from attending the meetings and exercise my aforementioned rights in person.

  • Signed in,
  • City, on this
  • Date Format: MM slash DD slash YYYY