EX-99.3 4 exhibit99-3.htm EXHIBIT 99.3 Micromem Technologies Inc.: Exhibit 99.3 - Filed by newsfilecorp.com

Micromem Technologies Inc.
(“Corporation”)
 
FORM OF PROXY (“PROXY”)
 
Annual General Meeting
Tuesday, April 26, 2016 at 10 a.m. (EST)
The National Club, 303 Bay Street, Toronto, ON
(“Meeting”)

RECORD DATE:   March 17, 2016
CONTROL NUMBER:    
SEQUENCE #:    
FILING DEADLINE FOR PROXY:   April 22, 2016 at 10 a.m. (EST)

 VOTING METHODS
INTERNET Go to www.voteproxyonline.com and enter the 12 digit control number above
FACSIMILE (416) 595-9593
MAIL or HAND DELIVERY

TMX EQUITY TRANSFER SERVICES INC.*
200 University Avenue, Suite 300,
Toronto, Ontario, M5H 4H1

The undersigned hereby appoints Joseph Fuda, CEO of the Corporation, whom failing Dan Amadori, CFO (“Management Nominees”), or instead of any of them, the following Appointee

 
Please print appointee name

as proxyholder on behalf of the undersigned with the power of substitution to attend, act and vote for and on behalf of the undersigned in respect of all matters that may properly come before the Meeting and at any adjournment(s) thereof, to the same extent and with the same power as if the undersigned were personally present at the said Meeting or such adjournment(s) thereof in accordance with voting instructions, if any, provided below.


    This proxy revokes and supersedes all earlier dated proxies and MUST BE SIGNED.

 
PLEASE PRINT NAME

   
Signature of Registered owner(s)
                                                                 Date (MM/DD/YYYY)