Date No Clause Samples

Date No. Remarks ------------------------------------------------------------------------------------------------------------------------ U.S.$ TOTAL U.S.$________ ________ ________

Date No. SHARES THAT VEST ---- -------------------- First Anniversary of Date of Grant 35,000 Second Anniversary of Date of Grant 3,500 Third Anniversary of Date of Grant 1,500 A share of the Executive's Restricted Stock may not be sold, assigned, transferred pledged or otherwise encumbered until the Executive becomes vested in such share.

Date No of Shares (Cumulative) ---- -------------------------- July 9, 2004 40,000 July 9, 2005 80,000 July 9, 2006 120,000

Date No. The undersigned agrees to the Terms and Conditions above and that the number on the contract is the same number shown on his bidding card.