AGREEMENT TO PURCHASE

UNDER SECURITIES AND EXCHANGE COMMISSION RULE 15G, IT IS UNLAWFUL FOR US TO

EFFECT THE SALE OF THE DESIGNATED SECURITIES IDENTIFIED BELOW UNLESS WE

HAVE RECEIVED, PRIOR TO THE TRANSACTION, A WRITTEN AGREEMENT TO THE

TRANSACTION.

By signing below, you are agreeing to the purchase of the shares identified below at a price that will be confirmed to you for your agreement by your account executive prior to execution of the transaction.

DESIGNATED SECURITIES:

Name of Issuer_________________________________________________________

Type of Security (common stock, units, warrants, etc.) __________________________

Number of Shares__________________

Signature of Customer(s) ______________________________Date:_______________

Printed Name:______________________________________

Signature of Customer(s) ______________________________Date:_______________

Printed Name:______________________________________

Signature of Registered Representative:______________________________Date:___________