Proxy Form


BioSculpture Technology, Inc.
Attention:  Julia Cucin, Secretary
1701 South Flagler Drive
Suite 607
West Palm Beach, Florida 33401

     I, the shareholder of BioSculpture Technology, Inc. (the "Company") whose name appears below, do hereby appoint proxy #1 whose name appears below, and failing him/her proxy #2 whose name appears below, as my proxy at the meeting of the Company on August 17, 11:30 AM EDT at Suite 607, 1701 South Flagler Drive, West Palm Beach, Florida to vote for me at that meeting or any adjournment thereof.

    If no person is named above, or if the person named above does not attend the meeting or is not legally capable of voting for me, the Chairman of the meeting will be my proxy to vote for me at the meeting or any adjournment thereof on my behalf.

   I understand that if I do not direct my proxy how to vote, he/she may vote or abstain as he/she sees fit. If submitting, please check the applicable boxes.

 

 

 

 

 

 

  

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Last modified: August 13, 2017