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TVI Pacific : Proxy - MarketScreener

Kelso Technologies : 2021 AGM Voting Instruction Form

Fold Voting Instruction Form ( VIF ) - Annual General and Special Meeting to be held on Thursday, June 3, 2021 NON-REGISTERED (BENEFICIAL) SECURITYHOLDERS We are sending to you the enclosed proxy-related materials that relate to a meeting of the holders of the series or class of securities that are held on your behalf by the intermediary identified above. Unless you attend the meeting and vote in person, your securities can be voted only by management, as proxy holder of the registered holder, in accordance with your instructions. We are prohibited from voting these securities on any of the matters to be acted upon at the meeting without your specific voting instructions. In order for these securities to be voted at the meeting, it will be necessary for us to have your specific voting instructions. Please complete and return the information requested in this VIF to provide your voting instructions to us promptly.

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