Common use of Registration Form Clause in Contracts

Registration Form. The Subscriber, if not an individual, either [check appropriate box]: [ ] has previously filed with the TSX Venture Exchange (the “Exchange”) a Form 4C, Corporate Placee Registration Form, represents and warrants that there has been no change to any of the information in the Corporate Placee Registration Form previously filed with the Exchange up to the date hereof; or [ ] hereby delivers a completed Form 4C, Corporate Placee Registration Form, in the form attached as Appendix A to this Schedule B to the Corporation for filing with the Exchange.

Registration Form. The SubscriberPurchaser, if not an individual, either [check appropriate box]: [ ] has previously filed with the TSX Venture Exchange (the “Exchange”) a Form 4C, Corporate Placee Registration Form, represents and warrants that there has been no change to any of the information in the Corporate Placee Registration Form previously filed with the TSX Venture Exchange up to the date hereof; or [ ] hereby delivers a completed Form 4C, Corporate Placee Registration Form, in the form attached as Appendix A to this Schedule B to the Corporation Company for filing with the Exchange.

Registration Form. The Subscriber, if not an individual, either [check appropriate box]: [ ] has previously filed with the TSX Venture Exchange (the “Exchange”) a Form 4C, Corporate Placee Registration Form, Form and represents and warrants that there has been no change to any of the information in the Corporate Placee Registration Form previously filed with the Exchange up to the date hereof; or [ ] hereby delivers a completed Form 4C, Corporate Placee Registration Form, in the form attached as Appendix appendix A to this Schedule schedule B to the Corporation for filing with the Exchange.

Registration Form. The Subscriber, if not an individual, either [check appropriate box]: [ ] has previously filed with the TSX Venture Exchange (the “Exchange”) a Form 4C, Corporate Placee Registration Form, Form and represents and warrants that there has been no change to any of the information in the Corporate Placee Registration Form previously filed with the Exchange up to the date hereof; or [ ] hereby delivers a completed Form 4C, Corporate Placee Registration Form, in the form attached as Appendix A to this Schedule B A to the Corporation for filing with the Exchange.

Registration Form. The Subscriber, if not an individual, either [check appropriate box]: [ ] has previously filed with the TSX Venture Exchange (the “"Exchange”") a Form 4C, Corporate Placee Registration Form, represents and warrants that there has been no change to any of the information in the Corporate Placee Registration Form previously filed with the Exchange up to the date hereof; or [ ] hereby delivers a completed Form 4C, Corporate Placee Registration Form, in the form attached as Appendix appendix A to this Schedule schedule B to the Corporation for filing with the Exchange.