**EXHIBIT      4.21**

**SUBSCRIPTION      AGREEMENT**

*A      completed and originally executed copy of this subscription agreement must      be      delivered or transmitted by facsimile ((416) 640-0412) by no later than 12:00      noon (Toronto time) on September 9, 2005 to ADB Systems International Ltd.      (Attention:*
*** ***
*Mike      Robb)*

| **TO:**                    | ADB                Systems International Ltd. (the “**Corporation**”)                                                                                                                                                                                                                                                               |
|----------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| **AND                TO:** | PowerOne                Capital Markets Limited (the “**Agent**”)                                                                                                                                                                                                                                                                   |
| **RE:**                    | Sale                of secured subordinate convertible debentures convertible into units                consisting of one common share in the capital of the Corporation                and one                common share purchase warrant exercisable into one common share in                the                capital of the Corporation. |

**Details      of Subscription**

**Subscriber**
**Debentures**

**Ontario      Subscribers**

**Alberta      and British Columbia Subscribers**

**OR**

**Non      Canadian and Non U.S. Subscribers**

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*Please      print all information (other than signatures), as applicable, in the spaces      provided below.*

| ***Principal                Amount of Debentures Subscribed for (to be issued at                par):____________________________________________________________________________________________***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              |
|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              |   |   |
| ***Subscriber                Details*** _______________________________________________________________*Name                of Subscriber* *By:______________________________________________________________________*   *Authorized                Signature* ________________________________________________________________Official                Capacity or Title (if Subscriber is not an individual) ________________________________________________________________Name                of individual whose signature appears above if different from name                of                Subscriber                printed above                                                                                                                                                                                                                                                                                  |   | ***Registration                Instructions******(if different from name of Subscriber and address set out******in                the box to the left):*** *________________________________________________________________________**Name* *________________________________________________________________________**In                Trust For, if applicable**Account                Reference, if applicable* *________________________________________________________________________* *________________________________________________________________________* *________________________________________________________________________*Address,                including postal code  |
|  *_________________________________________________________________________* *_________________________________________________________________________* *_________________________________________________________________________*Address                of Subscriber, including province and postal code *Telephone                Number:__________________________________________________________* *Fax                Number:_______________________________________________________________* *E-mail                Address:_____________________________________________________________*                                                                                                                                                                                                                                                                                                                       |   | ***Delivery                Instructions******(if different from name of Purchaser and address set out in the******box                to the left):*** *________________________________________________________________________**Name* *________________________________________________________________________*Account                Reference, if applicable *________________________________________________________________________* *________________________________________________________________________* *________________________________________________________________________**Address,                including province and postal code* |
| *Disclosed                Principal (please complete if purchasing as agent or trustee for                a                disclosed principal* Name                of                Principal:____________________________________________________________ Principal’s                Address:__________________________________________________________    (Street                Address)                         ___________________________________________________    (City                and Province)                         ___________________________________________________    (Postal                Code) |   |   |

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**Nous      reconnaissons par les présentes avoir consenti et demandé à ce que la présente      convention de souscription (et les annexes s’y rapportant) et tous les autres      documents faisant foi ou se rapportant de quelque manière à notre souscription      soient rédigés en anglais seulement.**

**IN      WITNESS WHEREOF**

|                                                 |                         |                                                                 |
|-----------------------------------------------------------|------------------------------|---------------------------------------------------------------------------|
| Signature                of Subscriber (if an individual) |                         | Name                of Subscriber (if an individual)                      |
|                                                      |                         |                                                                      |
|                                                      |                         |                                                                      |
|                                                      | Per:     |                                                                      |
| Name                of Subscriber (if an individual)      |                         | (signature                of authorized representative)                   |
|                                                      |                         |                                                                      |
|                                                      |                         |                                                                      |
|                                                      |                         | Name                and Title of Authorized                Representative |

**ACCEPTANCE**

| **ADB                SYSTEMS INTERNATIONAL LTD.** |
|---------------------------------------------------|
|                                              |
| Per:                                              |   |

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**SCHEDULE      “A”**

*This      is Schedule “A” to the subscription agreement relating to the purchase of      Debentures of ADB Systems International Ltd.*

**TERMS      OF THE OFFERING**

**Offering**
**Debentures**
**Offering**

**Initial      Period**
**Maturity**
**Date**
**Subsequent      Period**

**Conversion**
**Units**
**Conversion      Price**

**Common      Share**
**Warrant**

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**Definitions**

**Applicable      Securities Laws**

**Business      Day**

**Closing      Date**

**Closing      Time**

**Corporation’s      Information Record**

**Hold      Period**
*Securities      Act *

**including**

**material**

**material      change**

**material      fact**

**Material      Subsidiaries**

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**misrepresentation**

**Debenture      Certificates**

**Purchasers**

**Regulation      S**

**TSX**

**Underlying      Securities**

**United      States**

**U.S.      Person**

**U.S.      Securities Act**
*Securities      Act of 1933*

**Warrants      Shares**

**Currency**

**Representations      and Warranties of the Corporation**

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** **

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*Securities      Act*

**Reliance      upon Representations, Warranties and Covenants of the      Corporation**

**Closing      of Purchase**

**Payment      and Delivery**

**Conditions      of Closing. **

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** **

**Acceptance      or Rejection**

**Information      and Documents**

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**Resale      Restrictions**

**No      Revocation**

**Indemnity**

**Authorizations.      **

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**Modification**

**Compensation,      Expenses and Reimbursement Entitlements of Agent**

**Miscellaneous**

**Notices.**

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**SCHEDULE      “B”**

*This      is Schedule “B” to the subscription agreement relating to the purchase of      Debentures of ADB Systems International Ltd. (the “*
***Corporation***
*”).      Capitalized terms used but not defined in this schedule are intended to have      the      meanings ascribed thereto, as applicable, on the first page of this subscription      agreement and sections 1 and 2 of Schedule “A” to this subscription      agreement*

**ADB      SYSTEMS INTERNATIONAL LTD.**

**Summary      of Proposed Terms**

**Offering      of Secured Subordinate Convertible Debentures**

**by      way of Private Placement**

| **Issuer:**                              | ADB                  Systems International Ltd.                  (“ADB” or                  the “Corporation”)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  |
|------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|                                     |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    |
| **Offered                  Securities**: | Secured                  subordinate convertible debentures (the “Debentures”) to be issued at par                  in integral multiples of $1,000. At any time up to and including                  the                  Maturity Date (as defined below), all or any portion of the principal                  amount of the Debentures will be convertible (“Conversion”) into one unit                  (a “Unit”) at the option of the holder at a conversion price of $0.15 per                  Unit, subject to adjustments for any stock splits, consolidations,                  or                  other capital reorganizations, extraordinary dividends or distributions                  among                  other anti-dilution provisions providing adjustment for events                  that will                  affect all security holders equally (the                  “Conversion Price”). Each Unit is to consist of one common share (“Common                  Share”) and one common share purchase warrant (“Warrant”). Each Warrant is                  exercisable into one Common Share for a period of five years from                  the                  Closing Date at an exercise price of $0.20. |
|                                     |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    |
| **Size                  of Offering:**   | The                  total funding size is expected to be $1,200,000, consisting of                  the                  following:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    |
|                                     |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    |
|                                     | The                  Offering of $1,120,000 principal amount of Debentures, or such                  other                  amount as shall be agreed upon by ADB and the Agent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |
|                                     |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    |
|                                     | The                  Offering shall be effected contemporaneously with a non-brokered                  offering                  of up to $80,000 principal amount of Debentures to purchasers resident                  in                  the United States (the “US Offering”).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         |
|                                     |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    |
| **Interest:**                            | Interest                  payable on the Debentures shall be simple interest calculated at                  11% per                  annum and payable as follows:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
|                                     |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    |
|                                     | (a)                  interest owing in respect of the period commencing on the Closing                  Date and                  ending on the date that is twelve months following the Closing                  Date shall                  be calculated and payable in arrears upon the earlier of (i) Conversion;                  and (ii) the date which is 12 months following the Closing Date,                  and such                  interest shall be satisfied by the issuance of the number of Common                  Shares                  calculated on the basis of:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            |
|                                     |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    |
|                                     | A÷B,                  where:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       |
|                                     | A                  = the amount of accrued interest payable, in dollars; and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            |
|                                     | B                  = the volume weighted average trading price of the Common Shares                  over the                  20 day trading period ending at the close of business on the day                  prior to                  the date on which the interest payment is due, reduced by the maximum                  percentage discount permitted by the Toronto Stock Exchange,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          |

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|                                      | provided                  that the maximum aggregate number of common shares issuable pursuant                  to                  the above-noted calculation is 974,199 and in the event the Corporation                  is                  obligated to, and cannot, issue any further Common Shares over                  and above                  974,199, it shall satisfy the balance of the interest payment owing                  in                  cash by paying the amount calculated as (i) the total amount of                  accrued                  interest payable, less (ii) the value of the Common Shares issued                  in                  satisfaction of interest payments; and              |
|-------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|                                      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
|                                      | (b)                  interest owing in respect of the period commencing on the date                  that is                  twelve months and one day following the Closing Date and ending                  on the                  date that is five years following the Closing Date shall be calculated                  and                  payable in cash upon the earlier of  (i) Conversion; or (ii) the                  Maturity Date.                                                                                                                                                                                                                                                                                 |
|                                      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
| **Security:**                             | The                  Debentures will provide general security over the Corporation’s assets.                  Such security will be subordinate to the liabilities of the Corporation                  to                  current secured creditors, but will rank in priority over all unsecured                  liabilities of the Corporation.                                                                                                                                                                                                                                                                                                                                                                                 |
|                                      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
| **Agreements:**                           | Secured                  Subordinate Convertible Debenture, Warrant Certificate, Agency                  Agreement,                  Security Agreement, Subscription Agreement.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          |
|                                      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
| **Maturity                  Date:**       | Five                  years from the Closing Date (as defined below).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     |
|                                      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
| **Resale                  Restrictions:** | The                  Corporation will be a “reporting issuer” on the Closing Date, such that it                  is expected that the Debentures, Common Shares, Warrants and common                  shares                  issuable upon the exercise of the Warrants, will be subject to                  a                  restricted period expiring four months and one day following the                  Closing                  Date.                                                                                                                                                                                                                                                                             |
|                                      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
| **Form                  of Offering:**    | Best                  efforts private placement to accredited investors in Ontario under                  OSC                  Rule 45-501 or in such other jurisdictions in Canada, and outside                  North                  America as the Corporation and the Agent shall agree, under equivalent                  rules.                                                                                                                                                                                                                                                                                                                                                                                                   |
|                                      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
|                                      | The                  Offering shall be effected contemporaneously with the US                  Offering.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  |
|                                      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
| **Agent:**                                | PowerOne                  Capital Markets Limited. The Agent shall have the right to include                  other                  investment dealers in the selling group at the Agent's                  discretion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  |
|                                      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
| **Conditions:**                           | The                  Agent’s obligation to proceed with the Offering is conditional on: (i)                  the                  Agent being satisfied, in its sole discretion, with its due diligence                  review of the Corporation; (ii) execution of definitive documentation;                  (iii) no material adverse change occurring in the business of the                  Corporation; and (iv) satisfactory market conditions. The Corporation                  shall allow the Agent and its representatives to conduct all due                  diligence                  investigations which the Agent may reasonably require to fulfil                  its                  obligations as agent. |
|                                      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
| **Black-Out                  Period:**    | Subject                  to certain exceptions, ADB will not issue nor announce the issuance                  of any                  of its common shares or other securities at an effective price                  below $0.15                  per share for a period ending six months from the Closing Date,                  and ADB’s                  executive officers and directors and their respective associates                  will                  enter into standstill arrangements for a period ending six months                  from the                  Closing Date.                                                                                                                                   |
|                                      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
| **Closing                  Date:**        | September                  9, 2005 or such other date or dates as the Agent and the Corporation                  may                  agree (the “Closing Date”).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             |

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| **Agent’s                  Commission:** | 8%                  of gross proceeds of the Offering. For greater certainty, the parties                  agree that the Agent is neither acting as agent nor entitled to                  any                  commission or Compensation Warrants (as defined below) in connection                  with                  the US Offering.                                                                                                                                                                            |
|------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|                                           |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     |
| **Compensation                  Warrants:**    | The                  Agent shall receive a number of compensation warrants (the “Compensation                  Warrants”) that is equal to 10% of the total number of Units issuable upon                  conversion of the principal amount of Debentures sold under the                  Offering.                  Each Compensation Warrant is exercisable at a price of $0.15 for                  a period                  of five years from the Closing Date to acquire one                  Unit. |
|                                           |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     |
| **Right                  of First Refusal:**   | The                  Agent shall have a 6 month right of first refusal.                                                                                                                                                                                                                                                                                                                                                                                                                                                  |
|                                           |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     |
| **Agency                  Agreement:**         | The                  Agent and the Corporation shall prior to the Closing Date negotiate,                  in                  good faith, an agency agreement which shall incorporate the terms                  and                  conditions hereof and contain such additional representations,                  warranties                  and covenants and indemnity and contribution provision conditions                  customary for transactions of this                  nature.                        |

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**SCHEDULE      “C”**

**SUBSCRIBER’S      REPRESENTATIONS AND WARRANTIES**

*This      is Schedule “C” to the subscription agreement relating to the purchase of      Debentures of ADB Systems International Ltd. (the “Corporation”). Capitalized      terms used but not defined in this schedule are intended to have the meanings      ascribed thereto, as applicable, on the first page of this subscription      agreement and sections 1 and 2 of Schedule “A” to this subscription      agreement.*

**By      executing this subscription agreement, the Subscriber represents and warrants      to      the Corporation, which representations and warranties are true as of the date      of      this subscription agreement and will be true as of the Closing Date,      that:**

| 1. | **Representations                and Warranties** |
|----|---------------------------------------------------|

|   | (a) | **Authorization                and Effectiveness**.                If the Subscriber is a corporation, the Subscriber is a valid and                subsisting corporation, has the necessary corporate capacity and                authority                to execute and deliver this subscription agreement and to observe                and                perform its covenants and obligations hereunder and has taken all                necessary corporate action in respect thereof. If the Subscriber                is a                partnership, syndicate or other form of unincorporated organization,                the                Subscriber has the necessary legal capacity and authority to execute                and                deliver this subscription agreement and to observe and perform its                covenants and obligations hereunder and has obtained all necessary                approvals in respect thereof. If the Subscriber is a natural person,                he or                she has obtained the age of majority and is legally competent to                execute                this subscription agreement and to take all actions required pursuant                thereto. |
|--------|-----|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (b) | **Residence**.                The Subscriber or any beneficial purchaser on whose behalf the Subscriber                is acting hereunder is a resident of, or otherwise subject to, the                jurisdiction referred to under “Name and Address of Subscriber” on the                first page of this subscription agreement, which address is the residence                or place of business of the Subscriber or such beneficial purchaser                and                has not been created or used solely for the purpose of acquiring                Debentures, and neither the Subscriber or such beneficial                purchaser: |
|--------|-----|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (i) | is                (or is purchasing Debentures for the account or benefit of) a U.S.                Person; |
|--------|-----|-------------------------------------------------------------------------------------------------------------|

|   | (ii) | was                offered the Debentures in the United States;                and |
|--------|------|------------------------------------------------------------------------------------|

|   | (iii) | executed                or delivered this agreement in the United                States. |
|--------|-------|------------------------------------------------------------------------------------------|

|   | (c) | **Investment                Intent**.                The Subscriber on its own behalf and on behalf of any beneficial                purchaser                on whose behalf the Subscriber is acting hereunder is acquiring Debentures                to be held for investment only and not with a view to resale or                distribution. |
|--------|-----|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (d) | **Prospectus                Exemptions.**                The Subscriber or any beneficial purchaser on whose behalf the Subscriber                is acting hereunder acknowledges and agrees that the sale and delivery                of                the Debentures to the Subscriber is conditional upon such sale being                exempt from the requirements under Applicable Securities Laws requiring                the filing of a prospectus in connection with the distribution of                the                Debentures and as a result, certain rights and remedies provided                by                Applicable Securities Laws (including statutory rights of rescission                or                damages) will not be available to the Subscriber or any beneficial                purchaser on whose behalf the Subscriber is acting                hereunder. |
|--------|-----|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

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|   | (e) | **Offering                Documents.**                The Subscriber has not received, nor does the Subscriber need to                receive,                any document purporting to describe the business and affairs of the                Corporation that has been prepared for delivery to and review by                prospective investors (including a prospectus or offering memorandum)                so                as to assist those investors to make an investment decision in respect                of                securities being sold in a distribution of securities of the                Corporation. |
|--------|-----|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (f) | **No                Solicitation or Advertising.**                The Subscriber on its own behalf and on behalf of any beneficial                purchaser                on whose behalf the Subscriber is acting hereunder acknowledges that                it                has not purchased the Debentures as a result of any general solicitation                or general advertising, including advertisements, articles, notices                or                other communications published in any newspaper, magazine or similar                media                or broadcast over radio or television or other telecommunications                (including electronic display), or any seminar or meeting whose attendees                have been invited by any general solicitation or general                advertising. |
|--------|-----|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (g) | **No                Undisclosed Information.**                The Debentures are not being purchased by the Subscriber as a result                of                any material information concerning the Corporation that has not                been                publicly disclosed and the Subscriber’s decision to tender this offer and                acquire Debentures has not been made as a result of any verbal or                written                representation as to fact or otherwise made by or on behalf of the                Corporation or the Agent, or any other person and is based entirely                upon                the currently available public information concerning the                Corporation. |
|--------|-----|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (h) | **Investment                Suitability**.                The Subscriber and any beneficial purchaser on whose behalf the Subscriber                is acting hereunder have such knowledge and experience in financial                and                business affairs as to be capable of evaluating the merits and risks                of                the investment hereunder in Debentures (and the Underlying Securities                and                Warrant Shares in respect thereof) and are able to bear the economic                risk                of loss of such investment. The Subscriber and any beneficial purchaser                on                whose behalf the Subscriber is acting hereunder acknowledge and agree                that                the Subscriber and such beneficial purchaser are responsible for                obtaining                such legal advice as the Subscriber or such beneficial purchaser                considers                appropriate in connection with the execution, delivery and performance                by                the Subscriber of this agreement and the transactions contemplated                hereunder. |
|--------|-----|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (i) | **Subscription                Agreement**.                The Subscriber on its own behalf and on behalf of any beneficial                purchaser                on whose behalf the Subscriber is acting hereunder has read and                understands the contents of this agreement (including the Schedules                hereto) and agrees to be legally bound                hereby. |
|--------|-----|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (j) | **No                Conversion or Transfer of Debentures, Underlying Securities or Warrant                Shares in U.S.**                The Subscriber on its own behalf and on behalf of any beneficial                purchaser                on whose behalf the Subscriber is acting hereunder acknowledges that                the                Debentures, Underlying Securities and Warrant Shares may not be offered,                sold or otherwise transferred to persons in the United States or                to U.S.                Persons and may not be exercised in the United States or by or on                behalf                of a U.S. Person and the Subscriber and such beneficial purchaser                understand that certificates representing the Debentures, Underlying                Securities and Warrant Shares issued to it will so                indicate. |
|--------|-----|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (k) | **Ontario                Subscriber**.                If the Subscriber or any beneficial purchaser on whose behalf the                Subscriber is acting hereunder is a resident of Ontario, the Subscriber                or                its disclosed principal is an “accredited investor” within the meaning of                Ontario Securities Commission Rule 45-501 - Exempt Distributions                and falls                within one or more of the sub-paragraphs of the definition of “Accredited                Investor” set out in Appendix I to Schedule “D” hereto or is purchasing                pursuant to paragraph (b) of Schedule D, and the Subscriber or such                beneficial purchaser has concurrently executed and delivered to the                Corporation a certificate in the form attached as Appendix I to Schedule                “D” (the Subscriber having checked the applicable                subparagraph(s)). |
|--------|-----|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (l) | **Alberta                or British Columbia Subscriber**.                If the Subscriber or any beneficial purchaser on whose behalf the                Subscriber is acting hereunder is a resident of Alberta or British                Columbia, the Subscriber or the disclosed principal for which it                is                acting, as the case may be, is an “accredited investor” as defined in                Multilateral Instrument 45-103, by virtue of the fact that the Subscriber                or |
|--------|-----|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

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|   |   | such disclosed principal, as the case may be, falls              within one or more of the subparagraphs of the definition of “accredited              investor” set out in Schedule “E” hereto (the Subscriber having checked              the applicable subparagraph(s)) or the Subscriber otherwise falls within              one or more of the subparagraphs of the “Family, Friends and Business              Associates Certificate” attached as Appendix I to Schedule “E” (the              Subscriber having checked the applicable              subparagraph(s)). |
|--------|--------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|   |   |   |
|--------|--------|--------|
|   | (m) | If                the Subscriber, or any beneficial purchaser for whom it is acting,                is not                a person resident in Canada, the subscription for the Debentures                by the                Subscriber, or such beneficial purchaser, does not contravene any                of the                applicable securities legislation in the jurisdiction in which the                Subscriber or such beneficial purchaser resides and does not give                rise to                any obligation of the Corporation or the Agent to prepare and file                a                prospectus or similar document or to register the Debentures or to                be                registered with or to file any report or notice with any governmental                or                regulatory authority. |
|--------|-----|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (n) | The                execution and delivery of this subscription agreement, the performance                and                compliance with the terms hereof, the subscription for the Debentures                and                the completion of the transactions described herein by the Subscriber                will                not result in any material breach of, or be in conflict with or constitute                a material default under, or create a state of facts which, after                notice                or lapse of time, or both, would constitute a material default under                any                term or provision of the constating documents, by-laws or resolutions                of                the Subscriber, the Applicable Securities Laws or any other laws                applicable to the Subscriber, any agreement to which the Subscriber                is a                party, or any judgment, decree, order, statute, rule or regulation                applicable to the Subscriber. |
|--------|-----|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (o) | The                Subscriber is subscribing for the Debentures as principal for its                own                account and not for the benefit of any other person (within the meaning                of                Applicable Securities Laws) and not with a view to the resale or                distribution of all or any of the Debentures, Underlying Securities                or                Warrant Shares or if it is not subscribing as principal, it acknowledges                that the Corporation and/or the Agent may be required by law to disclose                to certain regulatory authorities the identity of each beneficial                purchaser of the Debentures for whom it is                acting. |
|--------|-----|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (p) | In                the case of a subscription for the Debentures by the Subscriber acting                as                trustee or agent (including, for greater certainty, a portfolio manager                or                comparable adviser) for a principal, the Subscriber is duly authorized                to                execute and deliver this subscription agreement and all other necessary                documentation in connection with such subscription on behalf of each                such                beneficial purchaser, each of whom is subscribing as principal for                its own                account, not for the benefit of any other person and not with a view                to                the resale or distribution of the Debentures, Underlying Securities                or                Warrant Shares, and this subscription agreement has been duly authorized,                executed and delivered by or on behalf of and constitutes a legal,                valid                and binding agreement of, such principal, and the Subscriber acknowledges                that the Corporation and/or the Agent may be required by law to disclose                the identity of each beneficial purchaser for whom the Subscriber                is                acting. |
|--------|-----|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (q) | In                the case of a subscription for the Debentures by the Subscriber acting                as                principal, this subscription agreement has been duly authorized,                executed                and delivered by, and constitutes a legal, valid and binding agreement                of,                the Subscriber. This subscription agreement is enforceable in accordance                with its terms against the Subscriber and any beneficial purchasers                on                whose behalf the Subscriber is                acting. |
|--------|-----|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (r) | Other                than the Agent, there is no person acting or purporting to act in                connection with the transactions contemplated herein who is entitled                to                any brokerage or finder’s fee. If any person establishes a claim that any                such fee or other compensation is payable in connection with this                subscription for the Debentures, the Subscriber covenants to indemnify                and                hold harmless the Corporation and the Agent with respect thereto                and with                respect to all costs reasonably incurred in the defence                thereof. |
|--------|-----|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (s) | The                Subscriber is not, with respect to the Corporation or any of its                affiliates, a control person (as defined in Applicable Securities                Laws). |
|--------|-----|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

----

|   | (t) | If                required by Applicable Securities Laws or the Corporation, the Subscriber                will execute, deliver and file or assist the Corporation in filing                such                reports, undertakings and other documents with respect to the issue                of the                Debentures, Underlying Securities or Warrant Shares as may be required                by                any securities commission, stock exchange or other regulatory                authority. |
|--------|-----|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (u) | The                Subscriber acknowledges that no representation has been made respecting                the applicable hold periods imposed by the Applicable Securities                Laws or                other resale restrictions applicable to the Debentures, Underlying                Securities or Warrant Shares which restrict the ability of the Subscriber                (or others for whom it is contracting hereunder) to resell such                securities, that the Subscriber (or others for whom it is contracting                hereunder) is solely responsible to find out what these restrictions                are                and the Subscriber is solely responsible (and neither the Corporation                nor                the Agent is in any way responsible) for compliance with applicable                resale                restrictions and the Subscriber is aware that it (or beneficial purchasers                for whom it is contracting hereunder) may not be able to resell such                securities except in accordance with limited exemptions under the                Applicable Securities Laws and other applicable                laws. |
|--------|-----|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (v) | No                person has made any written or oral                representations: |
|--------|-----|---------------------------------------------------------------------------------------|

|   | (i) | that                any person will resell or repurchase the Debentures, Underlying Securities                or the Warrant Shares; |
|--------|-----|--------------------------------------------------------------------------------------------------------------------------------------|

|   | (iii) | as                to the future price or value of the Debentures, Underlying Securities                or                the Warrant Shares. |
|--------|-------|----------------------------------------------------------------------------------------------------------------------------------------------|

|   | (w) | The                Subscriber, on its own behalf and, if applicable, on behalf of others                for                whom it is acting hereunder, acknowledges and agrees as                follows: |
|--------|-----|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (i) | No                securities commission, agency, governmental authority, regulatory                body,                stock exchange or other regulatory body has reviewed or passed on                the                merits of the Debentures, Underlying Securities or the Warrant                Shares. |
|--------|-----|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (ii) | The                Subscriber’s ability to transfer the Debentures, Underlying Securities and                Warrant Shares is limited by, among other things, Applicable Securities                Laws. |
|--------|------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (iii) | The                certificates representing the Debentures will bear, as of the Closing                Date, legends substantially in the following form and with the necessary                information inserted: |
|--------|-------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

**.”**

|   | (iv) | In                the event that holders of Debentures convert such Debentures and/or                exercise the Warrants prior to the expiry of the hold periods applicable                to the Underlying Securities, the Underlying Securities and/or Warrant                Shares, as applicable, will bear legends substantially in the following                form and with the necessary information                inserted: |
|--------|------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

**“**
**.**

|   | (v) | In                addition, the Common Shares (and Warrant Shares, if applicable) will                also                bear a legend substantially in the following                form: |
|--------|-----|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

----

**“THE      SECURITIES REPRESENTED BY THIS CERTIFICATE ARE LISTED ON THE TORONTO STOCK      EXCHANGE (THE “TSX”); HOWEVER THE SAID SECURITIES CANNOT BE TRADED THROUGH THE      FACILITIES OF THE TSX SINCE THEY ARE NOT FREELY TRANSFERABLE, AND CONSEQUENTLY      ANY CERTIFICATE REPRESENTING SUCH SECURITIES IS NOT “GOOD DELIVERY” IN      SETTLEMENT OF TRANSACTIONS ON THE TSX.”**

|   | (vi) | There                is no government or other insurance covering the Debentures, Underlying                Securities or the Warrant Shares. |
|--------|------|-----------------------------------------------------------------------------------------------------------------------------------------------|

|   | (vii) | There                are risks associated with the purchase of the Debentures, Underlying                Securities and/or the Warrant                Shares. |
|--------|-------|---------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (viii) | the                Agent and its directors, officers, employees, agents and representatives                do not assume any responsibility or liability of any nature whatsoever                for                the accuracy or adequacy of the Corporation’s Information Record or as to                whether all information concerning the Corporation required to be                disclosed by it has been generally                disclosed; |
|--------|--------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (ix) | Goodman                and Carr LLP is acting as counsel to the Agent and not as counsel                to the                Purchasers. |
|--------|------|-------------------------------------------------------------------------------------------------------------------------------------------|

| 2. | **Reliance                Upon Representations, Warranties and Covenants**.                The Subscriber acknowledges that the representations and warranties                contained herein are made by the Subscriber with the intention that                they                may be relied upon by the Corporation in determining the Subscriber’s                eligibility to purchase Debentures under Applicable Securities Laws.                The                Subscriber agrees that by accepting delivery of the Debentures on                the                Closing Date, the Subscriber will be representing and warranting                that the                foregoing representations and warranties are true and correct as                at the                Closing Time with the same force and effect as if they had been made                by                the Subscriber at the Closing Time and that they will survive the                purchase                by the Subscriber of Debentures and will continue in full force and                effect                notwithstanding any subsequent disposition by the Subscriber of such                Debentures. |
|----|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

| 3. | **Personal                Information**.                The Subscriber acknowledges and consents to the fact that the Corporation                and the Agent are collecting the Subscriber’s personal information for the                purpose of fulfilling this subscription agreement. The subscriber                further                acknowledges and consents to the fact that the Corporation and/or                the                Agent may be required by Applicable Securities Laws to provide the                applicable regulatory authorities with any personal information provided                by the Subscriber in accordance with and for the purposes required                under                Applicable Securities Laws. |
|----|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

----

**SCHEDULE      “D”**

**CERTIFICATES**

**ONTARIO      RESIDENTS ONLY**

*Complete      both of the two following certificates:*

**ONTARIO      RESIDENT EXEMPTION CERTIFICATE**

**[Initial      or place a checkmark in the box to the left of each applicable item; choose      only      one of item (a) or (b) below and choose only one sub item in (a) or      (b)]**

| ⁫ | (a)  | the                Subscriber is resident in Ontario and falls within one or more of                the                categories described in the sub-paragraphs of the definition of                “accredited investor” as such term is defined in Ontario Securities                Commission Rule 45-501 (“**Rule                45-501**”)                and has completed the Ontario Accredited Investor Certificate attached                hereto as Appendix I, and: |
|---------|-----------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       |   |
|    | ⁫   | (i)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        | if                purchasing the securities as principal, the Subscriber is an “accredited                investor” (as such term is defined in Rule 45-501), is purchasing the                securities as principal for its own account and not for the benefit                of any                other person, it is purchasing for investment only and not with a                view to                resale or distribution and no other person, corporation, firm or                other                organization has a beneficial interest in the said securities being                purchased; or |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       |   |
|    | ⁫   | (ii)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       | if                purchasing the securities as agent for a principal disclosed on the                cover                page of this subscription agreement, the Subscriber is an agent or                trustee                of such disclosed principal and such disclosed principal for whom                the                Subscriber is acting is an “accredited investor”, is purchasing the                securities as principal for its own account and not for the benefit                of any                other person, and is purchasing for investment only and not with a view to                resale or distribution and no other person, corporation, firm or                other                organization has a beneficial interest in the said securities being                purchased; **OR** |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       |   |
| ⁫ | (b)  | the                Subscriber is resident in Ontario and is purchasing the securities                for a                principal or principals which is or are undisclosed or identified                by                account number only and the Subscriber is:                                                                                                                                                                                                                                    |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       |   |
|    | ⁫   | (i)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        | a                portfolio adviser (as such term is defined in Rule 45-501) and is                purchasing the securities for one or more managed accounts (as defined                in                Rule 45-501); or |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       |   |
|    | ⁫   | (ii)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       | a                trust corporation registered under the *Loan                and Trust Corporations Act*(Ontario)                or under the *Trust                and Loan Companies Act*                (Canada) or under comparable legislation in any jurisdiction and                is                purchasing the securities for an account that is fully managed by                such                trust company. |

----

**APPENDIX      I**

**ONTARIO      ACCREDITED INVESTOR CERTIFICATE**

**[check      appropriate boxes]**

| ⁫ | (a)  | a                bank listed in Schedule I or II of the *Bank                Act*(Canada),                or an authorized foreign bank listed in Schedule III of the *Bank                Act*                (Canada);                                                                                                                                                                                                                                             |
|---------|-----------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                 |
| ⁫ | (b)  | the                Business Development Bank incorporated under the *Business                Development Bank Act (Canada);*                                                                                                                                                                                                                                                                                                                                         |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                 |
| ⁫ | (c)  | a                loan corporation or trust corporation registered under the *Loan                and Trust Corporations Act*                (Ontario) or under the *Trust                and Loan Corporations Act*                (Canada), or under comparable legislation in any other                jurisdiction;                                                                                                                                               |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                 |
| ⁫ | (d)  | a                co-operative credit society, credit union central, federation of                caisses                populaires, credit union or league, or regional caisse populaire,                or an                association under the *Cooperative                Credit Associations Act*(Canada),                in each case, located in Canada;                                                                                                    |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                 |
| ⁫ | (e)  | a                company licensed to do business as an insurance company in any                jurisdiction of Canada;                                                                                                                                                                                                                                                                                                                                               |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                 |
| ⁫ | (f)  | a                subsidiary of any company referred to in paragraph (a), (b), (c),                (d) or                (e), where the company owns all of the voting shares of the                subsidiary;                                                                                                                                                                                                                                                       |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                 |
| ⁫ | (g)  | a                person or company registered under the *Securities                Act*                (Ontario) or securities legislation in another jurisdiction of Canada                as                an adviser or dealer, other than a limited market                dealer;                                                                                                                                                                               |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                 |
| ⁫ | (h)  | the                government of Canada or of any jurisdiction, or any crown corporation,                instrumentality or agency of a Canadian federal, provincial or territorial                government;                                                                                                                                                                                                                                                       |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                 |
| ⁫ | (i)  | any                Canadian municipality or any Canadian provincial or territorial capital                city;                                                                                                                                                                                                                                                                                                                                                      |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                 |
| ⁫ | (j)  | any                national, federal, state, provincial, territorial or municipal government                of or in any foreign jurisdiction, or any instrumentality or agency                thereof;                                                                                                                                                                                                                                                              |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                 |
| ⁫ | (k)  | a                pension fund that is regulated by either the Office of the Superintendent                of Financial Institutions (Canada) or a provincial pension commission                or                similar regulatory authority;                                                                                                                                                                                                                       |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                 |
| ⁫ | (l)  | a                registered charity under the *Income                Tax Act*                (Canada);                                                                                                                                                                                                                                                                                                                                                               |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                 |
| ⁫ | (m)  | an                individual who beneficially owns, or who together with a spouse                beneficially own, financial assets having an aggregate realizable                value                that, before taxes but net of any related liabilities, exceeds                $1,000,000;                                                                                                                                                                     |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                 |
| ⁫ | (n)  | an                individual whose net income before taxes exceeded $200,000 in each                of the                two most recent years or whose net income before taxes combined with                that                of a spouse exceeded $300,000 in each of those years and who, in                either                case, has a reasonable expectation of exceeding the same net income                level                in the current year; |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                 |
| ⁫ | (o)  | an                individual who has been granted registration under the *Securities                Act*                (Ontario) or securities legislation in another jurisdiction of Canada                as a                representative of a person or company referred to in paragraph (g),                whether or not the individual’s registration is still in                effect;                                                            |

----

|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                  |
|---------|-----------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| ⁫ | (p)  | a                promoter of the Corporation or an affiliated entity of a promoter                of the                Corporation;                                                                                                                                                                                                                                                                                                  |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                  |
| ⁫ | (q)  | a                spouse, parent, brother, sister, grandparent or child of an officer,                director or promoter of the Corporation;                                                                                                                                                                                                                                                                                         |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                  |
| ⁫ | (r)  | a                person or company that, in relation to the Corporation, is an affiliated                entity or a person or company referred to in clause (c) of the definition                of distribution in subsection 1(1) of the *Securities                Act*                (Ontario);                                                                                                                                 |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                  |
| ⁫ | (s)  | a                company, limited partnership, limited liability partnership, trust                or                estate, other than a mutual fund or non-redeemable investment fund,                that                had net assets of at least $5,000,000 as reflected in its most recently                prepared financial statements;                                                                                     |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                  |
| ⁫ | (t)  | a                person or company that is recognized by the Ontario Securities Commission                as an accredited investor, pursuant to a discretionary order of the                Ontario Securities Commission;                                                                                                                                                                                                           |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                  |
| ⁫ | (u)  | a                mutual fund or non-redeemable investment fund that, in Ontario,                distributes its securities only to persons or companies that are                accredited investors;                                                                                                                                                                                                                                 |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                  |
| ⁫ | (v)  | a                mutual fund or non-redeemable investment fund that, in Ontario,                distributes its securities under a prospectus for which a receipt                has been                granted by the Director as defined in the *Securities                Act*                (Ontario) or, if it has ceased distribution of its securities, has                previously distributed securities in this manner; |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                  |
| ⁫ | (w)  | a                fully managed account if it is acquiring a security that is not a                security                of a mutual fund or non-redeemable investment fund;                                                                                                                                                                                                                                                         |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                  |
| ⁫ | (x)  | an                account that is fully managed by a trust corporation registered under                the                *Loan                and Trust Corporations Act*                (Ontario) or under the *Loan                and Trust Companies Act*                (Canada) or under comparable legislation in any other                jurisdiction;                                                                      |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                  |
| ⁫ | (y)  | an                entity organized outside of Canada that is analogous to any of the                entities referred to in paragraphs (a) through (g) and paragraph                (k) in                form and function; or                                                                                                                                                                                                       |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                  |
| ⁫ | (z)  | a                person or company in respect of which all of the owners of interests,                direct or indirect, legal or beneficial, are persons or companies                that are                accredited investors.                                                                                                                                                                                                  |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                  |

**company**

**control      person**

**director**

**entity**

**financial      assets**
*Securities      Act*

----

**fully      managed account**

**individual**

**mutual      fund**

**non-redeemable      investment fund**

|   | (a) | whose                primary purpose is to invest money provided by its                securityholders; |
|--------|-----|---------------------------------------------------------------------------------------------------------|

|   | (b) | that                does not invest for the purpose of exercising effective control,                seeking                to exercise effective control, or being actively involved in the                management of the issuers in which it invests, other than other mutual                funds or non-redeemable investment funds;                and |
|--------|-----|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (c) | is                not a mutual fund. |
|--------|-----|--------------------------------------|

**officer**

**person**

**portfolio      adviser**

**promoter**

**related      liabilities**

**spouse**

----

| (a) | a                person or company is considered to be an affiliated entity of another                person or company if one is a subsidiary entity of the other, or                if both                are subsidiary entities of the same person or company, or if each                of them                is controlled by the same person or                company. |
|-----|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

| (b) | a                person or company is considered to be controlled by a person or company                if |
|-----|------------------------------------------------------------------------------------------------------------|

|   | (i) | in                the case of a person or company, |
|--------|-----|----------------------------------------------------|

|   | (A) | voting                securities of the first mentioned person or company carrying more                than 50                percent of the votes for the election of directors are held, otherwise                than by way of security only, by or for the benefit of the other                person or                company, and |
|--------|-----|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (B) | the                votes carried by the securities are entitled, if exercised, to elect                a                majority of the directors of the first-mentioned person or                company; |
|--------|-----|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (ii) | in                the case of a partnership that does not have directors, other than                a                limited partnership, the second-mentioned person or company holds                more                than 50 percent of the interests in the partnership;                or |
|--------|------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (iii) | in                the case of a limited partnership, the general partner is the                second-mentioned person or company;                and |
|--------|-------|-------------------------------------------------------------------------------------------------------------------------------------------------------|

| (c) | a                person or company is considered to be a subsidiary entity of another                person or company if |
|-----|---------------------------------------------------------------------------------------------------------------------------|

|   | (i) | it                is controlled by, |
|--------|-----|-------------------------------------|

|   | (A) | that                other, or |
|--------|-----|-------------------------------|

|   | (B) | that                other and one or more persons or companies each of which is controlled                by                that other, or |
|--------|-----|--------------------------------------------------------------------------------------------------------------------------------------------|

|   | (C) | two                or more persons or companies, each of which is controlled by that                other;                or |
|--------|-----|------------------------------------------------------------------------------------------------------------------------------|

| (d) | it                is a subsidiary entity of a person or company that is the other’s                subsidiary entity. |
|-----|-----------------------------------------------------------------------------------------------------------------------------|

----

**EXECUTED**

| **If                a corporation, partnership or other entity:**              |   | **If                an individual:**                                           |
|--------------------------------------------------------------------------------|--------|--------------------------------------------------------------------------------|
|                                                                           |   |                                                                           |
| ______________________________________________________________________________ |   | ______________________________________________________________________________ |
| *(Print                Name of Subscriber)*                                    |   | *(Print                Name)*                                                  |
|                                                                           |   |                                                                           |
| ______________________________________________________________________________ |   | ______________________________________________________________________________ |
| *(Signature                of Authorized                Signatory)*            |   | *(Signature)*                                                                  |
|                                                                           |   |                                                                           |
| ______________________________________________________________________________ |   | ______________________________________________________________________________ |
| *(Name                and Position of Authorized Signatory)*                   |   | *(Jurisdiction                of Residence)*                                   |
|                                                                           |   |                                                                           |
| ______________________________________________________________________________ |   | ______________________________________________________________________________ |
| *(Jurisdiction                of Residence)*                                   |   | *(Print                Name of Witness)*                                       |
|                                                                           |   |                                                                           |
| ______________________________________________________________________________ |   | ______________________________________________________________________________ |
|                                                                           |   | *(Signature                of Witness)*                                        |

----

**SCHEDULE      “E”**

**CERTIFICATE**

**ALBERTA      AND BRITISH COLUMBIA RESIDENTS ONLY**

*Complete      one of the two following certificates (as applicable):*

**ACCREDITED      INVESTOR CERTIFICATE**

*[Check      appropriate item]*

| ⁫ | (a)  | a                Canadian financial institution, or an authorized foreign bank listed                in                Schedule III of the *Bank                Act*                (Canada);                                                                                                                                                                                         |
|---------|-----------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|    |      |                                                                                                                                                                                                                                                                                                                                                                                  |
| ⁫ | (b)  | the                Business Development Bank of Canada incorporated under the *Business                Development Bank of Canada Act*                (Canada);                                                                                                                                                                                                                       |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                  |
| ⁫ | (c)  | an                association under the *Cooperative                Credit Associations Act*                (Canada) located in Canada or a central cooperative credit society                for                which an order has been made under subsection 473(1) of that                Act;                                                                                     |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                  |
| ⁫ | (d)  | a                subsidiary of any person or company referred to in paragraphs (a)                to (c),                if the person or company owns all of the voting securities of the                subsidiary, except the voting securities required by law to be owned                by                directors of that subsidiary;                                         |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                  |
| ⁫ | (e)  | a                person or company registered under the securities legislation of                a                jurisdiction of Canada, as an adviser or dealer, other than a limited                market dealer registered under the *Securities                Act*                (Ontario) or the *Securities                Act*                (Newfoundland and Labrador); |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                  |
| ⁫ | (f)  | an                individual registered or formerly registered under the securities                legislation of a jurisdiction of Canada, as a representative of a                person                or company referred to in paragraph (e);                                                                                                                                    |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                  |
| ⁫ | (g)  | the                government of Canada or a jurisdiction of Canada, or any crown                corporation, agency or wholly owned entity of the government of Canada                or                a jurisdiction of Canada;                                                                                                                                                    |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                  |
| ⁫ | (h)  | a                municipality, public board or commission in Canada;                                                                                                                                                                                                                                                                                                                  |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                  |
| ⁫ | (i)  | any                national, federal, state, provincial, territorial or municipal government                of or in any foreign jurisdiction, or any agency of that                government;                                                                                                                                                                                       |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                  |
| ⁫ | (j)  | a                pension fund that is regulated by either the Office of the Superintendent                of Financial Institutions (Canada) or a pension commission or similar                regulatory authority of a jurisdiction of Canada;                                                                                                                                      |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                  |
| ⁫ | (k)  | an                individual who, either alone or with a spouse, beneficially owns,                directly                or indirectly, financial assets having an aggregate realizable value                that                before taxes, but net of any related liabilities, exceeds                $1,000,000;                                                               |

----

|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             |
|---------|-----------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| ⁫ | (l)  | an                individual whose net income before taxes exceeded $200,000 in each                of the                two most recent years or whose net income before taxes combined with                that                of a spouse exceeded $300,000 in each of the two most recent years                and                who, in either case, reasonably expects to exceed that net income                level in                the current year;                                                                                                |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             |
| ⁫ | (m)  | a                person or company, other than a mutual fund or non-redeemable investment                fund, that, either alone or with a spouse, has net assets of at least                $5,000,000, and unless the person or company is an individual, that                amount                is shown on its most recently prepared financial                statements;                                                                                                                                                                               |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             |
| ⁫ | (n)  | a                mutual fund or non-redeemable investment fund that, in the local                jurisdiction, distributes its securities only to persons or companies                that                are accredited investors;                                                                                                                                                                                                                                                                                                                              |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             |
| ⁫ | (o)  | a                mutual fund or non-redeemable investment fund that, in the local                jurisdiction, is distributing or has distributed its securities under                one                or more prospectuses for which the regulator has issued                receipts;                                                                                                                                                                                                                                                                        |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             |
| ⁫ | (p)  | a                trust company or trust corporation registered or authorized to carry                on                business under the *Trust                and Loan Companies Act*(Canada)                or under comparable legislation in a jurisdiction of Canada or a                foreign                jurisdiction, trading as a trustee or agent on behalf of a fully                managed                account;                                                                                                                            |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             |
| ⁫ | (q)  | a                person or company trading as agent on behalf of a fully managed account                if                that person or company is registered or authorized to carry on business                under the securities legislation of a jurisdiction of Canada or a                foreign                jurisdiction as a portfolio manager or under an equivalent category                of                adviser or is exempt from registration as a portfolio manager or                the                equivalent category or adviser; |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             |
| ⁫ | (r)  | a                registered charity under the *Income                Tax Act*                (Canada) that, in regard to the trade, has obtained advice from an                eligibility adviser or other adviser registered to provide advice                on the                securities being traded;                                                                                                                                                                                                                                                   |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             |
| ⁫ | (s)  | an                entity organized in a foreign jurisdiction that is analogous to any                of the                entities referred to in paragraphs (a) through (e) and paragraph                (j) in                form and function; or                                                                                                                                                                                                                                                                                                           |
|    |      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             |
| ⁫ | (t)  | a                person or company in respect of which all of the owners of interests,                direct or indirect, legal or beneficial, except the voting securities                required by law to be owned by directors, are persons or companies                that                are accredited investors.                                                                                                                                                                                                                                       |

**eligibility      adviser**

**financial      assets**

**fully      managed account**

**non-redeemable      investment fund**

----

**related      liabilities**

----

**APPENDIX      I**

**FAMILY,      FRIENDS AND BUSINESS ASSOCIATES CERTIFICATE**

*[Check      appropriate item]*

| ⁫ | (a)  | a                director, senior officer or control person of the Corporation, or                of an                affiliate of the Corporation; or                                                                                                              |
|---------|-----------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|    |      |                                                                                                                                                                                                                                                                 |
| ⁫ | (b)  | a                spouse, parent, grandparent, brother, sister or child of a director,                senior officer or control person of the Corporation, or of an affiliate                of                the Corporation; or                                    |
|    |      |                                                                                                                                                                                                                                                                 |
| ⁫ | (c)  | a                parent, grandparent, brother, sister or child of a director, senior                officer or control person of the Corporation, or of an affiliate                of the                Corporation; or                                            |
|    |      |                                                                                                                                                                                                                                                                 |
| ⁫ | (d)  | a                close business associate of a director, senior officer or control                person                of the Corporation, or of an affiliate of the Corporation;                or                                                                 |
|    |      |                                                                                                                                                                                                                                                                 |
| ⁫ | (e)  | a                close personal friend of a director, senior officer or control person                of                the Corporation, or of an affiliate of the Corporation;                or                                                                    |
|    |      |                                                                                                                                                                                                                                                                 |
| ⁫ | (f)  | a                founder of the Corporation or a spouse, parent, grandparent, brother,                sister, child, close personal friend or close business associate                of a                founder of the Corporation; or                             |
|    |      |                                                                                                                                                                                                                                                                 |
| ⁫ | (g)  | a                parent, grandparent, brother, sister or child of the spouse of a                founder                of the Corporation; or                                                                                                                       |
|    |      |                                                                                                                                                                                                                                                                 |
| ⁫ | (h)  | a                person or company of which a majority of the voting securities are                beneficially owned                by, as a majority of the directors are, persons or companies described                in                sections (a) to (g); or |
|    |      |                                                                                                                                                                                                                                                                 |
| ⁫ | (i)  | a                trust or estate of which all of the beneficiaries or a majority of                the                trustees are persons or companies described in paragraphs (a) to                (g).                                                           |

**close      personal friend**

**close      business associate**

----

**founder**

----

**EXECUTED**

| **If                a corporation, partnership or other entity:**              |   | **If                an individual:**                                           |
|--------------------------------------------------------------------------------|--------|--------------------------------------------------------------------------------|
|                                                                           |   |                                                                           |
| ______________________________________________________________________________ |   | ______________________________________________________________________________ |
| *(Print                Name of Subscriber)*                                    |   | *(Print                Name)*                                                  |
|                                                                           |   |                                                                           |
| ______________________________________________________________________________ |   | ______________________________________________________________________________ |
| *(Signature                of Authorized Signatory)*                           |   | *(Signature)*                                                                  |
|                                                                           |   |                                                                           |
| ______________________________________________________________________________ |   | ______________________________________________________________________________ |
| *(Name                and Position of Authorized Signatory)*                   |   | *(Jurisdiction                of Residence)*                                   |
|                                                                           |   |                                                                           |
| ______________________________________________________________________________ |   | ______________________________________________________________________________ |
| *(Jurisdiction                of Residence)*                                   |   | *(Print                Name of Witness)*                                       |
|                                                                           |   |                                                                           |
| ______________________________________________________________________________ |   | ______________________________________________________________________________ |
|                                                                           |   | *(Signature                of Witness)*                                        |

----

**SCHEDULE      “F”**

**OFFSHORE      SUBSCRIBER CERTIFICATE**

**NON-CANADIAN      SUBSCRIBERS**

**(OTHER      THAN U.S SUBSCRIBERS)**

*other      than Canada or the United States*

|   | (a) | we                are, and (if applicable) any other subscriber for whom we are contracting                hereunder, is: |
|--------|-----|---------------------------------------------------------------------------------------------------------------------------|

|   | (i) | subscriber                that is recognized by the securities regulatory authority in the                jurisdiction in which we are, and (if applicable) any other subscriber                for                whom we are contracting hereunder is resident or otherwise subject                to the                securities laws of such jurisdiction, as an exempt subscriber and                are                purchasing the Debentures as principal for our, or (if applicable)                each                such other subscriber’s, own account, and not for the benefit of any other                person, for investment only and not with a view to resale or distribution;                or |
|--------|-----|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (ii) | a                subscriber which is purchasing Debentures pursuant to an exemption                from                any prospectus or securities registration requirements (particulars                of                which are enclosed herewith) available to the Corporation, and any                such                other subscriber under Applicable Securities Laws of our jurisdiction                of                residence or to which we and any such other subscriber are otherwise                subject to, and we and any such other subscriber shall deliver to                the                Corporation such further particulars of the exemption and our                qualification thereunder as the Corporation may reasonably                request; |
|--------|------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (b) | the                purchase of Debentures by us, and (if applicable) each such other                subscriber, does not contravene any of the Applicable Securities                Laws in                such jurisdiction and does not trigger: (i) any obligation to prepare                and                file a prospectus, an offering memorandum or similar document, or                any                other ongoing reporting requirements with respect to such purchase                or                otherwise; or (ii) any registration or other obligation on the part                of the                Corporation; and |
|--------|-----|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | (c) | we,                and (if applicable) any other subscriber for whom we are contracting                hereunder will not sell or otherwise dispose of any Debentures, Underlying                Securities or Warrant Shares, except in accordance with applicable                Canadian securities laws and in accordance with the rules and regulations                of the TSX, and if we, or (if applicable) such beneficial subscriber                sell                or otherwise dispose of any Debentures, Underlying Securities or                Warrant                Shares to a person other than a resident of Canada, we, and (if                applicable) such beneficial subscriber, will obtain from such subscriber                representations, warranties and covenants in the same form as provided                in                this Schedule “E” or “F” and shall comply with such other requirements as                the Corporation may reasonably                require. |
|--------|-----|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | ______________________________________________________________________________ |
|--------|--------------------------------------------------------------------------------|
|   | *(Signature                of Subscriber)*                                     |
|   |                                                                           |
|   | ______________________________________________________________________________ |
|   | *(Print                Name)*                                                  |