Common use of SUBSCRIPTION AND SUBSCRIBER INFORMATION Clause in Contracts

SUBSCRIPTION AND SUBSCRIBER INFORMATION. Aggregate Subscription Price: (the “Subscription Amount”) Number of Units: x $0.20 = Subscription Amount If the Subscriber is signing as agent or trustee for a principal (a “Disclosed Principal”) and is not purchasing as trustee or agent for accounts fully managed by it, so as to be deemed to be purchasing as principal pursuant to NI 45-106 complete the following: (Name of Disclosed Principal) (Residential Address of Disclosed Principal) (Telephone Number of Disclosed Principal) (Account Reference, if applicable) Please print all information (other than signatures), as applicable, in the space provided below Subscriber Information and Signature (Name of Subscriber) Account Reference (if applicable): By: Authorized Signature (Official Capacity or Title – if the Subscriber is not an individual) (Name of individual whose signature appears above if different than the name of the Subscriber printed above.) (Subscriber’s Residential Address, including Municipality and Province) (Address continued) (Subscriber’s Telephone Number) (Subscriber’s Email Address) **see Section 1.1 - “Definitions” in the attached Terms and Conditions for defined terms. Account Registration Information: (Name) (Account Reference, if applicable) (Address, including Postal Code) (Address continued)

SUBSCRIPTION AND SUBSCRIBER INFORMATION. Please print ALL information (other than signatures), as applicable, in the space provided below (Name of Subscriber): Number of Common Shares: x $0.54 Account Reference (if applicable): = Aggregate Subscription Price: By: (the “"Subscription Amount”Price") Number of Units: x $0.20 = Subscription Amount Authorized Signature (Official Capacity or Title – if the Subscriber is not an individual) If the Subscriber is signing as agent or trustee for a principal (a “Disclosed Principal”beneficial purchaser) and is not purchasing as trustee or agent for accounts fully managed by it, so as to be deemed to be purchasing as principal pursuant to NI 45-106 complete the following: (Name of Disclosed Principal) (Residential Address of Disclosed Principal) (Telephone Number of Disclosed Principal) (Account Reference, if applicable) Please print all information (other than signatures), as applicable, in the space provided below Subscriber Information and Signature (Name of Subscriber) Account Reference (if applicable): By: Authorized Signature (Official Capacity or Title – if the Subscriber is not an individual) (Name of individual whose signature appears above if different than the name of the Subscriber subscriber printed above.) (Name of Principal) (Subscriber’s Residential 's Address, including Municipality and Province) (Address continuedPrincipal's Address) S.I.N. or Taxation Account of Subscriber (Subscriber’s Telephone Number) (Subscriber’s Email Address) **see Section 1.1 - “Definitions” in the attached Terms and Conditions for defined terms. Account Registration Information: Delivery Instructions as set forth below: (Name) (Name) (Account Reference, if applicable) (Address, including Zip Code) (Address, including Postal Code) (Address continued)Account Reference, if applicable) (Contact Name) (Telephone Number) Number and kind of securities of the Corporation held, directly or indirectly, if any: 1. State whether Subscriber is an Insider (as such term is hereinafter defined) of the Corporation: Yes ¨ No ¨

SUBSCRIPTION AND SUBSCRIBER INFORMATION. Aggregate Subscription Price: (the “Subscription Amount”) Number of Units: x $0.20 = Subscription Amount If the Subscriber is signing as agent or trustee for a principal (a “Disclosed Principal”) and is not purchasing as trustee or agent for accounts fully managed by it, so as to be deemed to be purchasing as principal pursuant to NI 45-106 complete the following: (Name of Disclosed Principal) (Residential Address of Disclosed Principal) (Telephone Number of Disclosed Principal) (Account Reference, if applicable) Please print all information (other than signatures), as applicable, in the space provided below Subscriber Information and Signature (Name of SubscriberSubscriber — please print) Account Reference (if applicable): By: (Authorized Signature (Official Capacity or Title – if the Subscriber is not an individualSignature) (Name Please print name of individual whose signature appears above if different than the name of the Subscriber subscriber printed aboveabove and title, if applicable.) (Subscriber’s Residential Address, including Municipality and Province) (Address continued) (Subscriber’s Telephone Number) (Subscriber’s Email Fax Number) (E-mail Address) **see Section 1.1 - Number of Subscription Receipts: Aggregate Consideration: $ (number of Subscription Receipts x CDN$4.75) (the “Definitions” Subscription Amount”) If the subscriber is signing as agent for a principal and the subscriber is not a trust corporation or a person purchasing as trustee or agent for accounts fully managed by it, in each case satisfying the attached Terms and Conditions for defined terms. Account Registration Informationcriteria set forth in National Instrument 45-106, complete the following: (Name of Principal) (Principal’s Address) (Telephone Number) (Fax Number) (E-mail Address) Register the Subscription Receipts as set forth below: (Name) (Account Reference, if applicable) (Address, including Postal Code) Deliver the Subscription Receipts as set forth below: (Name) (Address continuedAccount Reference, if applicable) (Contact Name) (Address) (Telephone Number)

SUBSCRIPTION AND SUBSCRIBER INFORMATION. Please print ALL information (other than signatures), as applicable, in the space provided below (Name of Subscriber): Number of Common Shares: x $0.45 Account Reference (if applicable): = Aggregate Subscription Price: By: (the “"Subscription Amount”Price") Number of Units: x $0.20 = Subscription Amount Authorized Signature (Official Capacity or Title – if the Subscriber is not an individual) If the Subscriber is signing as agent or trustee for a principal (a “Disclosed Principal”beneficial purchaser) and is not purchasing as trustee or agent for accounts fully managed by it, so as to be deemed to be purchasing as principal pursuant to NI 45-106 complete the following: (Name of Disclosed Principal) (Residential Address of Disclosed Principal) (Telephone Number of Disclosed Principal) (Account Reference, if applicable) Please print all information (other than signatures), as applicable, in the space provided below Subscriber Information and Signature (Name of Subscriber) Account Reference (if applicable): By: Authorized Signature (Official Capacity or Title – if the Subscriber is not an individual) (Name of individual whose signature appears above if different than the name of the Subscriber subscriber printed above.) (Name of Principal) (Subscriber’s Residential 's Address, including Municipality and Province) (Address continuedPrincipal's Address) S.I.N. or Taxation Account of Subscriber (Subscriber’s Telephone Number) (Subscriber’s Email Address) **see Section 1.1 - “Definitions” in the attached Terms and Conditions for defined terms. Account Registration Information: Delivery Instructions as set forth below: (Name) (Name) (Account Reference, if applicable) (Address, including Zip Code) (Address, including Postal Code) (Address continued)Account Reference, if applicable) (Contact Name) (Telephone Number) Number and kind of securities of the Corporation held, directly or indirectly, if any: 1. State whether Subscriber is an Insider (as such term is hereinafter defined) of the Corporation: Yes ¨ No ¨