Common use of Form of Ownership Clause in Contracts

Form of Ownership. Please indicate the form of ownership that the Subscriber desires for the Shares: _____ Individual _____ Joint Tenants with Right of Survivorship _____ Tenants in Common _____ Community Property _____ Trust _____ Corporation _____ Partnership _____ Other: ________________________ By signing this agreement the subscriber has not waived any rights under the Securities Act of 1933 and the Securities Exchange Act of 1934.

Form of Ownership. Please indicate the form of ownership that the Subscriber desires for the Shares: _____ Individual _____ Joint Tenants with Right of Survivorship _____ Tenants in Common _____ Community Property _____ Trust ____x_ Corporation _____ Partnership _____ Other: :________________________ By signing this agreement the subscriber has not waived any rights under the Securities Act of 1933 and the Securities Exchange Act of 1934.______

Form of Ownership. Please indicate the form of ownership that the Subscriber desires for the Shares: _____ xxxx Individual _____ Joint Tenants with Right of Survivorship _____ Tenants in Common _____ Community Property _____ Trust _____ Corporation _____ Partnership _____ Other: :_____________________________ By signing this agreement the subscriber has not waived any rights under the Securities Act of 1933 and the Securities Exchange Act of 1934.SIGN HERE: SUBSCRIBER:

Form of Ownership. Please indicate the form of ownership that the Subscriber desires for the Shares: _____ Individual _____ Joint Tenants with Right of Survivorship _____ Tenants in Common _____ Community Property _____ Trust _____ Corporation _____ Partnership _____ Other: :_____________________________ By signing this agreement the subscriber has not waived any rights under the Securities Act of 1933 and the Securities Exchange Act of 1934.INDIVIDUAL(S) SIGN HERE: SUBSCRIBER:

Form of Ownership. Please indicate the form of ownership that the Subscriber desires for the Shares: _____ Individual _____ Joint Tenants with Right of Survivorship _____ Tenants in Common _____ Community Property _____ Trust _____ Corporation _____ Partnership _____ Other: _____________________________ By signing this agreement the subscriber has not waived any rights under the Securities Act INDIVIDUAL(S) SIGN HERE: SUBSCRIBER: (Signature) ____________________________________________ (Print Name) Date: ________________________________________ ACCEPTED: COMPANY By: _________________________________________ Date: ___________________ Number of 1933 and the Securities Exchange Act of 1934.Shares Subscribed