Common use of C E P T A N C E Clause in Contracts

C E P T A N C E. The above-mentioned Subscription Agreement in respect of the Shares is hereby accepted by Qwick Media Inc. DATED at Xxxxxxxxx, Xxxxxxx Xxxxxxxx, Xxxxxx, the _______day of _________________, 2010. QWICK MEDIA INC. Per: Authorized Signatory EXHIBIT A INVESTOR QUESTIONNAIRE All capitalized terms herein, unless otherwise defined, have the meanings ascribed thereto in the Subscription Agreement between Qwick Media Inc. (the “Company”) and the undersigned (the “Subscriber”). The purpose of this Questionnaire is to assure the Company that the Subscriber will meet certain requirements of National Instrument 45-106 (“NI 45-106”). The Company will rely on the information contained in this Questionnaire for the purposes of such determination. The Subscriber covenants, represents and warrants to the Company that:

C E P T A N C E. The above-mentioned Subscription Agreement in respect of the Shares Units is hereby accepted by Qwick Media Nexaira Wireless Inc. DATED at Xxxxxxxxx, Xxxxxxx Xxxxxxxx, Xxxxxx, the ________ day of __________________, 20102011. QWICK MEDIA NEXAIRA WIRELESS INC. Per: ______________________________ Authorized Signatory EXHIBIT A INVESTOR QUESTIONNAIRE All capitalized terms herein, unless otherwise defined, have the meanings ascribed thereto in the Subscription Agreement between Qwick Media Nexaira Wireless Inc. (the “Company”) and the undersigned (the “Subscriber”). The purpose of this Questionnaire is to assure the Company that the Subscriber will meet certain requirements of National Instrument 45-106 (“NI 45-106”). The Company will rely on the information contained in this Questionnaire for the purposes of such determination. The Subscriber covenants, represents and warrants to the Company that:

C E P T A N C E. The above-mentioned Subscription Agreement in respect of the Shares is hereby accepted by Qwick Media Nexaira Wireless Inc. DATED at XxxxxxxxxVaxxxxxxx, Xxxxxxx Xxxxxxxx, Xxxxxx, the ________ day of __________________, 2010. QWICK MEDIA NEXAIRA WIRELESS INC. Per: Authorized Signatory EXHIBIT A INVESTOR QUESTIONNAIRE All capitalized terms herein, unless otherwise defined, have the meanings ascribed thereto in the Subscription Agreement between Qwick Media Nexaira Wireless Inc. (the “Company”) and the undersigned (the “Subscriber”). The purpose of this Questionnaire is to assure the Company that the Subscriber will meet certain requirements of National Instrument 45-106 (“NI 45-106”). The Company will rely on the information contained in this Questionnaire for the purposes of such determination. The Subscriber covenants, represents and warrants to the Company that:

C E P T A N C E. The above-mentioned Subscription Agreement in respect of the Shares is hereby accepted by Qwick Media Nexaira Wireless Inc. DATED at XxxxxxxxxVaxxxxxxx, Xxxxxxx Xxxxxxxx, Xxxxxx, the ________ day of _________________, 2010. QWICK MEDIA NEXAIRA WIRELESS INC. Per: Authorized Signatory EXHIBIT A INVESTOR QUESTIONNAIRE All capitalized terms herein, unless otherwise defined, have the meanings ascribed thereto in the Subscription Agreement between Qwick Media Nexaira Wireless Inc. (the “Company”) and the undersigned (the “Subscriber”). The purpose of this Questionnaire is to assure the Company that the Subscriber will meet certain requirements of National Instrument 45-106 (“NI 45-106”). The Company will rely on the information contained in this Questionnaire for the purposes of such determination. The Subscriber covenants, represents and warrants to the Company that: