EXHIBIT 10.3

THIS AGREEMENT RELATES TO AN OFFERING OF SECURITIES IN AN OFFSHORE TRANSACTION TO PERSONS WHO ARE NOT U.S. PERSONS (AS DEFINED HEREIN) PURSUANT TO REGULATION S UNDER THE UNITED STATES SECURITIES ACT OF 1933, AS AMENDED (THE “SECURITIES ACT”).

THE SECURITIES TO WHICH THIS AGREEMENT RELATES HAVE NOT AND WILL NOT BE REGISTERED UNDER THE SECURITIES ACT, OR THE SECURITIES LAWS OF ANY STATE OF THE UNITED STATES. SUCH SECURITIES MAY NOT BE OFFERED, SOLD, PLEDGED OR OTHERWISE TRANSFERRED WITHOUT REGISTRATION UNDER THE SECURITIES ACT AND ANY APPLICABLE STATE SECURITIES LAWS, UNLESS AN EXEMPTION FROM SUCH REGISTRATION REQUIREMENTS IS AVAILABLE. HEDGING TRANSACTIONS INVOLVING SUCH SECURITIES MAY NOT BE CONDUCTED UNLESS IN COMPLIANCE WITH THE SECURITIES ACT.

SUBSCRIPTION AGREEMENT

RETURN TO:

EVIO, Inc.

62930 O. B. Riley Rd

Suite 300

Bend, OR 97703

1. The undersigned (“Investor”) hereby subscribes for the dollar amount (“Subscription Amount”) and number of common shares (“Shares”) of EVIO, Inc., a Colorado corporation (the “Company”) as indicated on the signature page hereto.

2. In this Subscription Agreement (the “Agreement”), in addition to those terms defined throughout this Agreement, the following words have the following meanings:

(a) “Directed Selling Efforts” means “directed selling efforts” as that term is defined in Rule 902(c) of Regulation S (“Regulation S”) under the Securities Act. Without limiting the foregoing, but for greater clarity in this Agreement, it means, subject to the exclusions from the definition of directed selling efforts contained in Regulation S, any activity undertaken for the purpose of, or that could reasonably be expected to have the effect of, conditioning the market in the United States for any of the Securities and includes the placement of any advertisement in a publication “with a general circulation in the United States”, as such phrase is defined in Rule 902(c) of Regulation S, that refers to the Private Placement;

(b) “Distribution Compliance Period” means “distribution compliance period” as that term is defined in Regulation S under the Securities Act, which shall terminate the date six (6) months from the closing of the offering to which this Agreement relates.

(c) “U.S. Person” means a “U.S. person” as that term is defined in Regulation S. Without limiting the foregoing, but for greater clarity in this Agreement, a U.S. Person includes, subject to the exclusions set forth in Regulation S, (1) any natural person resident in the United States, (2) any partnership or corporation organized or incorporated under the laws of the United States, (3) any estate or trust of which any executor, administrator or trustee is a U.S. Person, (4) any discretionary account or similar account (other than an estate or trust) held by a dealer or other fiduciary organized, incorporated, or (if an individual) resident in the United States, and (5) any partnership or corporation organized or incorporated under the laws of any non U.S. jurisdiction which is formed by a U.S. Person principally for the purpose of investing in securities not registered under the Securities Act, unless it is organized or incorporated, and owned, by “accredited investors” (as defined in Rule 501(a) of Regulation D under the Securities Act) who are not natural persons, estates or trusts.

3. Investor requests the Shares to be registered and delivered as follows:

4. To induce the Company to accept this subscription, the Investor hereby agrees and represents that:

(a) The Investor has transferred by wire funds equal to the Subscription Amount to the Company concurrently with submitting this Subscription Agreement, unless otherwise agreed by the Company.

(b) Investor has truthfully completed, executed and delivered the applicable form(s) of this Agreement and such forms contain information about the Investor that is true and accurate as of the date of signing and will be true and correct as at closing.

(c) Within five (5) days after receipt of a written request from the Company, the Investor shall provide such information and execute and deliver such documents as the Company may reasonably request to comply with any and all laws and ordinances to which the Company may be subject, including the securities laws of the United States or any other applicable jurisdiction.

(d) The Investor understands the meaning and legal consequences of, and that the Company intends to rely upon, the representations and warranties contained in Sections 5 and 6 hereof, and the Investor hereby agrees to indemnify and hold harmless the Company and each any manager, member, officer, employee, agent or affiliate thereof from and against any and all loss, damage or liability due to or arising out of a breach of any representation or warranty of the Investor.

5. The Investor hereby represents and warrants that that the Investor is an Accredited Investor, as defined by Rule 501 of Regulation D under the Securities Act, and Investor meets at least one of the following criteria (initial all that apply):

6. The Investor hereby further represents, warrants, covenants, acknowledges and agrees that:

(a) The information provided by the Investor is true and correct in all respects as of the date hereof and the Investor hereby agrees to promptly notify the Company and supply corrective information to the Company if, prior to the consummation of its investment in the Company, any of such information becomes inaccurate or incomplete.

(b) The Investor, if an individual, is over 21 years of age, and the address set forth above is the true residence and domicile of the Investor, and the Investor has no present intention of becoming a resident or domiciliary of any other state or jurisdiction. If a corporation, trust, partnership or other entity, the Investor has its principal place of business at the address set forth above.

(c) The Investor is a resident of Canada, and the Investor is purchasing as principal or is deemed to be purchasing as principal in accordance with applicable legislation and meets the definition of “accredited investor” as such term is defined under National Instrument 45-106 Prospectus Exemptions and has completed and signed the Canadian Accredited Investor Status Certificate forming part of this Subscription Agreement.

(d) The Investor has had an opportunity to ask questions of and receive answers from the Company, or a person or persons acting on its behalf, concerning the Company and the terms and conditions of this investment, and all such questions have been answered to the full satisfaction of the Investor.

(e) The Investor is not a person created or used solely to purchase or hold securities in order to comply with an exemption from the prospectus requirements of applicable legislation and if the Investor is not an individual, it pre-existed the offering and has a bona fide purpose other than investment in the Shares.

(f) Except as set forth in this Subscription Agreement, no representations or warranties have been made to the Investor by the Company or any partner, agent, employee or affiliate thereof.

(g) The Investor has consulted its own legal and tax advisers with respect to its proposed investment in the Company and the applicable resale restrictions and tax considerations, and it is solely responsible for compliance with applicable resale restrictions and applicable tax legislation.

(h) The Investor is not making this subscription in any manner as a representative of a charitable remainder unitrust or a charitable remainder trust.

(i) The Investor has the financial ability to bear the economic risk of the Investor’s investment, including a complete loss thereof, has adequate means for providing for its current needs and possible contingencies and has no need for liquidity in its investment.

(j) The Investor is not acquiring the Shares with a view towards distribution.

(k) Investor is acquiring the Shares for its own account and not for the benefit of any other person.

(l) Investor is not a U.S. Person or purchasing the Shares for a U.S. Person and will not sell the Shares to a U.S. Person or in the United States during the Distribution Compliance Period.

(m) The Investor did not acquire the Shares through Directed Selling Efforts and will not engage in any Directed Selling Efforts during the Distribution Compliance Period.

(n) Investor acknowledges and agrees that the Company will not, and shall refuse to, register transfer of the Shares that does not comply with Regulation S or is not made under a registration statement covering the securities or an available registration exemption.

(o) Investor understands and agrees that offers and sales of any of the Shares by Investor prior to the expiration of the Distribution Compliance Period (a period of at least six months after the date of the issuance of the Shares) shall only be made in compliance with the safe harbor provisions set forth in Regulation S, pursuant to the registration provisions of the Securities Act or an exemption therefrom, and that all offers and sales after the Distribution Compliance Period shall be made only in compliance with the registration provisions of the Securities Act or an exemption therefrom and in each case only in accordance with applicable state securities laws, and the Investor and any transferee of the Shares agree not to engage in hedging transactions involving the Shares unless such transactions are in compliance with the provisions of the Securities Act and in each case only in accordance with applicable state securities laws;

(p) The Investor has not received, nor has the Investor requested, nor does the Investor have any need to receive, any offering memorandum, or any other document describing the business and affairs of the Company in order to assist the Investor in making an investment decision in respect of the Shares and the Investor has not become aware of any advertisement in printed media of general and regular paid circulation, radio or television with respect to the distribution of the Shares;

(q) no person has made to the Investor any written or oral representations:

(i) that any person will resell or repurchase the Shares;

(ii) that any person will refund the purchase price of the Shares;

(iii) as to the future price or value of any of the Shares; or

(iv) that any of the Shares will be listed and posted for trading on a stock exchange or that application has been made to list and post any of the Shares for trading on any stock exchange;

(r) If the Investor is an individual, he or she is of the full age of majority and has all requisite legal capacity and competence to execute and deliver this Subscription Agreement and to observe and perform his or her covenants and obligations hereunder, or if the Investor is a corporation, the Investor is duly incorporated and is a valid and existing corporation, has the necessary corporate capacity and authority to execute and deliver this Subscription Agreement, to subscribe for the Shares and to observe and perform its covenants and obligations hereunder and has taken all necessary corporate action in respect thereof, and, in any case, upon acceptance by the Company, this Subscription Agreement will constitute a legal, valid and binding agreement of the Investor enforceable against the Investor in accordance with its terms and will not result in a violation of or create a state of facts which, after notice, lapse of time or both, would constitute a default or breach of any of the Investor’s constating documents, by-laws or authorizing resolutions (if applicable), any agreement to which the Investor is a party or by which the Investor is bound or any law applicable to the Investor or any judgment, decree, order, statute, rule or regulation applicable to the Investor.;

(s) The Investor has been advised to consult its own legal and tax advisors with respect to applicable resale restrictions and tax considerations, and it is solely responsible for compliance with applicable resale restrictions and applicable tax legislation.

(t) The Investor has no knowledge of a “material fact” or “material change” (as those terms are defined in applicable legislation) in the affairs of the Company that has not been generally disclosed to the public, except knowledge of this particular transaction.

(u) The offer made by this subscription is irrevocable (subject to the Investor’s right to withdraw the subscription and to terminate the obligations as set out in this Agreement) and requires acceptance by the Company.

(v) The Investor is not a “control person” of the Company as defined in applicable legislation, will not become a “control person” by virtue of this subscription for the Shares and does not intend to act in concert with any other person to form a control group of the Company.

(w) The Investor has been independently advised as to the applicable hold period imposed in respect of the Shares by securities legislation in the jurisdiction in which the Investor resides and confirms that no representation has been made respecting the applicable hold periods for the Shares and acknowledges that the hold period indicated in the terms does not constitute such representation and is aware of the risks and other characteristics of the Shares and of the fact that the Investor may not be able to resell the Shares except in accordance with the applicable securities legislation and regulatory policies.

(x) The Investor is capable of assessing the proposed investment as a result of the Investor’s financial and business experience or as a result of advice received from a registered person other than the Company or any affiliates of the Company.

(y) If required by applicable securities legislation, policy or order or by any securities commission, stock exchange or other regulatory authority, the Investor will execute, deliver, file and otherwise assist the Company in filing, such reports, undertakings and other documents with respect to the issuance of the Shares as may be required.

(z) The funds representing the aggregate subscription price for the Shares which will be advanced by the Investor hereunder will not represent proceeds of crime for the purposes of the Proceeds of Crime (Money Laundering) and Terrorist Financing Act (Canada) and the Investor acknowledges that the Company may in the future be required by law to disclose the Investor’s name and other information relating to this Agreement and the Investor’s subscription hereunder, on a confidential basis, pursuant to such Act. To the best of its knowledge: (a) none of the subscription funds to be provided by the Investor (i) have been or will be derived from or related to any activity that is deemed criminal under the law of Canada, the United States, or any other jurisdiction, or (ii) are being tendered on behalf of a person or entity who has not been identified to the Investor; and (b) the Investor shall promptly notify the Company if the Investor discovers that any of such representations ceases to be true, and to provide the Company with appropriate information in connection therewith.

(aa) The Investor acknowledges and understands that:

(i) No securities commission or similar regulatory authority has reviewed or passed on the merits of the Shares.

(ii) There is no government or other insurance covering the Shares.

(iii) There are risks associated with the purchase of the Shares, the Investor is knowledgeable or experienced in business and financial matters and is capable of evaluating the merits and risks of an investment in the Purchased Securities and is capable of bearing the economic risk of the investments.

(iv) The Company is not currently a reporting issuer in any Province or Territory of Canada and as a result the Canadian hold period to which the Shares are subject will be indefinite in every Canadian jurisdiction in which the Shares are issued, until the Company becomes a reporting issuer in such jurisdiction. There is no assurance that the Company will ever become a reporting issuer in any Province or Territory of Canada in the future. The Investor further understands that these resale restrictions will be legended on the certificates representing the Shares and the Investor agrees to comply with such resale restrictions.

(v) No prospectus or registration statement has been or is intended to be filed by the Company with the securities regulatory authorities in Canada in connection with the issuance of the Shares, the issuance is intended to be exempted from the prospectus and registration requirements of applicable legislation and as a consequence of acquiring the Shares pursuant to these exemptions:

a) the Investor is restricted from using most of the civil remedies available under applicable legislation;

b) the Investor may not receive information that would otherwise be required to be provided to the Investor under applicable legislation; and

c) the Company is relieved from certain obligations that would otherwise apply under applicable legislation.

(vi) The Shares are a speculative investment and involve a substantial degree of risk.

(vii) The Company is required to file a report of trade with all applicable securities regulatory authorities or regulators containing personal information about the Investor. This report of trade will include the full name, residential address, telephone number and email address of each Investor, the number and type of securities purchased, the total purchase price paid for such securities, the date of the closing and specific details of the prospectus exemption relied upon under applicable securities laws to complete such purchase, including how the Investor qualifies for such exemption. The Investor hereby acknowledges and consents to the collection, use, and disclosure of personal information by such securities regulatory authorities and regulators, including the publishing or otherwise making available to the public personal information including, for individuals, their name, number and type of securities purchased, the purchase price therefor, and their insider or registrant status, if applicable, and for non-individual Investors, the above information and their address, contact person name and telephone number and the exemption relied upon. In the event the Investor has any questions with respect to the indirect collection of such information by such securities regulatory authorities and regulators, the Investor should contact the applicable securities regulatory authority or regulator using the contact information set out in Exhibit “A” to the Canadian Accredited Investor Status Certificate (Canadian Securities Commissions Contact Information) attached hereto. The Company may also be required pursuant to applicable securities laws to file this Agreement on SEDAR. By completing this Agreement, the Investor authorizes the indirect collection of the information described in this section by all applicable securities commissions and consents to the disclosure of such information to the public through: (i) the filing of a report of trade with all applicable securities commissions; and (ii) the filing of this Agreement on SEDAR.

(viii) The Shares have not been registered under the Securities Act in reliance on exemptions thereunder for transactions not involving any public offering and that this offering has not been approved or disapproved by the Securities and Exchange Commission or by any other federal or state agency.

(ix) The Shares constitute “restricted securities” within the meaning of Rule 144 promulgated under the Securities Act.

(x) The Investor acknowledges that the Company's counsel is acting as counsel to the Company, and not as counsel to the Investor.

(xi) The proceeds received by the Company may not be sufficient to accomplish its business objectives, given its working capital requirements, acquisition costs, possible rescission of previous private placements, and ongoing compliance and regulatory costs.

(xii) There are restrictions on the Investor’s ability to resell the Shares and it is the responsibility of the Investor to find out what those restrictions are and to comply with them before selling the Shares.

(xiii) The certificates representing the Shares may contain restrictive legends reflecting the foregoing.

(bb) If the Investor is an entity, the Investor represents that: (i) it was not formed for the purpose of investing in the Company; (ii) it is not investing more than 40% of its total assets in the Company; (iii) each of the Investor’s beneficial owners participates in investments made by the Investor pro rata in accordance with its interest in the Investor and, accordingly, the Investor’s beneficial owners cannot opt-in or opt-out of investments made by the Investor; (iv) the Investor’s beneficial owners did not and will not contribute additional capital (other than previously committed capital) for the purpose of purchasing the Shares; (v) the person executing this Agreement on Investor’s behalf has the power and authority to do so; and (vi) Investor has the authority to enter into this Agreement, which shall be binding on Investor upon execution, and no further consent is required for Investor to acquire the Shares. If the Investor is an entity in which a holder of an interest in such entity may decide whether or how much to invest by means of such entity in various investment vehicles including the Company, then the Investor shall notify the Company as to the number of holders of interests in the Investor, the number of holders of interests in the Investor that hold interests in the Company through the Investor and any changes to either such number.

(cc) The Investor represents and warrants that (i) the Shares are to be purchased with funds that are from legitimate sources in connection with its regular business activities and which do not constitute the proceeds of criminal conduct; (ii) the Shares are not being acquired, and will not be held, in violation of any applicable laws; (iii) the Investor is not listed on the list of Specially Designated Nationals and Blocked Persons maintained by the United States Office of Foreign Assets Control (“OFAC”); and (iv) the Investor is not a senior foreign political figure, or any immediate family member close associate of a senior foreign political figure.

(dd) If the Investor is an individual retirement account, qualified pension, profit sharing or other retirement plan, or governmental plans or units (all such entities are herein referred to as a “Retirement Trust”), the Investor represents that the investment in the Company by the Retirement Trust has been authorized by the appropriate person or persons and that the Retirement Trust has consulted its counsel with respect to such investment and the Investor represents that it has not relied on any advice of the Manager or its affiliates in making its decision to invest in the Company.

7. It is understood that this subscription is not binding on the Company until accepted by the Company. The Company may accept this subscription in whole or in part.

8. The Company reserves the right to request such information as is necessary to verify the identity of the Investor. The Investor shall promptly on demand provide such information and execute and deliver such documents as the Company may request to verify the accuracy of the Investor’s representations and warranties herein or to comply with the USA PATRIOT Act of 2001, as amended (the “Patriot Act”), certain anti-money laundering laws or any other law or regulation to which the Company may be subject (the “Relevant Legislation”). In addition, by executing this subscription agreement the Investor authorizes the Manager to provide the Company’s legal counsel and any other appropriate third party with information regarding the Investor’s account, until the authorization is revoked by the Investor in writing to the Company.

9. The Company represents and warrants to the Investor that:

(a) The Company is duly formed and validly existing in good standing as a limited liability company under the laws of the State of Colorado and has all requisite power and authority to carry on its business as now conducted.

(b) The execution, delivery and performance by the Company of this Subscription Agreement have been authorized by all necessary action on behalf of the Company, and upon execution by the Company, this Subscription Agreement will be a legal, valid and binding agreement of the Company, enforceable against the Company in accordance with its terms.

10. All Investor documents, notices and other communications to the Company should be addressed to the above captioned address. Notices to Investor will be sent to the address provided on the first page of this Agreement.

11. This Subscription Agreement (including its Exhibits) constitutes the entire agreement among the parties hereto pertaining to the subject matter hereof and supersede all prior and contemporaneous agreements and understandings of the parties in connection therewith. No covenant, representation or condition not expressed in this Subscription Agreement shall affect, or be effective to interpret, change or restrict, the express provisions of this Subscription Agreement.

12. This subscription is not transferable or assignable by the Investor and any purported transfer shall be null and void. All notices or other communications to be given or made hereunder shall be in writing and shall be delivered personally or mailed, postage prepaid, to the Investor or to the Company, as the case may be. This Subscription Agreement shall be governed by, and construed and enforced in accordance with, the laws of the State of Colorado, U.S.A., without regard to its principles of conflicts of laws. All nouns and pronouns and any variations thereof used herein shall be deemed to refer to the masculine, feminine, neuter, singular or plural as the identity of the person or persons may require. In the event that any provision or portion of this Agreement shall be determined to be invalid or unenforceable for any reason, in whole or in part, the remaining provisions of this Agreement shall be unaffected thereby and shall remain in full force and effect to the fullest extent permitted by law. This Agreement may be executed in one or more counterparts, each of which shall be deemed to be an original but all of which together shall constitute one and the same document. Investors’ representations and warranties contained herein shall survive the closing of the purchase of Shares.

[EXECUTION PAGE FOLLOWS]

IN WITNESS WHEREOF, the undersigned has executed this Subscription Agreement on the date set forth below.

Company Acceptance:

The foregoing subscription is hereby accepted on behalf of the Company the ____ day of _______________, 2018.

The Subscription in the amount of $_________________ is accepted for ______ Common Shares.

EVIO, INC.

Per: __________________________________________

(authorized signatory)

EXHIBIT A

FOREIGN PERSON QUESTIONNAIRE AND DISCLOSURE SUPPLEMENT

EXHIBIT B

NON-US (CANADIAN AND INTERNATIONAL) ACCREDITED INVESTOR STATUS CERTIFICATE

The categories listed herein contain certain specifically defined terms. If you are unsure as to the meanings of those terms, or are unsure as to the applicability of any category below, please contact your broker and/or legal advisor before completing this certificate.

Please note that if the Investor qualifies as an “accredited investor” under paragraphs (j), (k) or (l) below, a completed and executed Exhibit A - Form 45-106F9 must also be completed.

In connection with the purchase by the undersigned Investor of the Shares, the Investor, on its own behalf and on behalf of each of the beneficial purchasers for whom the Investor is acting, hereby represents, warrants, covenants and certifies to Evio, Inc. (the “Company”) (and acknowledges that the Company and its counsel are relying thereon) that:

Please check the appropriate box:

For the purposes hereof, the following definitions are included for convenience:

(a) “bank” means a bank named in Schedule I or II of the Bank Act (Canada);

(b) “Canadian financial institution” means (i) an association governed by the Cooperative Credit Associations Act (Canada) or a central cooperative credit society for which an order has been made under section 473(1) of that Act, or (ii) a bank, loan corporation, trust company, trust corporation, insurance company, treasury branch, credit union, caisse populaire, financial services cooperative, or league that, in each case, is authorized by an enactment of Canada or a jurisdiction of Canada to carry on business in Canada or a jurisdiction of Canada;

(c) “company” means any corporation, incorporated association, incorporated syndicate or other incorporated organization;

(d) “financial assets” means (i) cash, (ii) securities, or (iii) a contract of insurance, a deposit or an evidence of a deposit that is not a security for the purposes of securities legislation;

(e) “fully managed account” means an account of a client for which a person makes the investment decisions if that person has full discretion to trade in securities for the account without requiring the client’s express consent to a transaction;

(f) “investment fund” has the same meaning as in National Instrument 81-106 Investment Fund Continuous Disclosure;

(g) “person” includes

(i) an individual,

(ii) a corporation,

(iii) a partnership, trust, fund and an association, syndicate, organization or other organized group of persons whether incorporated or not, and

(iv) an individual or other person in that person’s capacity as a trustee, executor, administrator or personal or other legal representative.

(h) “related liabilities” means (i) liabilities incurred or assumed for the purpose of financing the acquisition or ownership of financial assets, or (ii) liabilities that are secured by financial assets;

(i) “Schedule III bank” means an authorized foreign bank named in Schedule III of the Bank Act (Canada);

(j) “spouse” means, an individual who, (i) is married to another individual and is not living separate and apart within the meaning of the Divorce Act (Canada), from the other individual, (ii) is living with another individual in a marriage-like relationship, including a marriage-like relationship between individuals of the same gender, or (iii) in Alberta, is an individual referred to in paragraph (i) or (ii), or is an adult interdependent partner within the meaning of the Adult Interdependent Relationships Act (Alberta); and

(k) “subsidiary” means an issuer that is controlled directly or indirectly by another issuer and includes a subsidiary of that subsidiary.

In NI 45-106 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.

In NI 45-106 a person (first person) is considered to control another person (second person) if (a) the first person, directly or indirectly, beneficially owns or exercises control or direction over securities of the second person carrying votes which, if exercised, would entitle the first person to elect a majority of the directors of the second person, unless that first person holds the voting securities only to secure an obligation, (b) the second person is a partnership, other than a limited partnership, and the first person holds more than 50% of the interests of the partnership, or (c) the second person is a limited partnership and the general partner of the limited partnership is the first person.

In NI 45-106 a trust company or trust corporation described in paragraph (p) above of the definition of “accredited investor” (other than in respect of a trust company or trust corporation registered under the laws of Prince Edward Island that is not registered or authorized under the Trust and Loan Companies Act (Canada) or under comparable legislation in another jurisdiction of Canada) is deemed to be purchasing as principal.

In NI 45-106 a person described in paragraph (q) above of the definition of “accredited investor” is deemed to be purchasing as principal.

The foregoing representations contained in this certificate are true and accurate as of the date of this certificate and will be true and accurate as of the Closing Time. If any such representations shall not be true and accurate prior to the Closing Time, the undersigned shall give immediate written notice of such fact to the Company prior to the Closing Time.

EXHIBIT “A” TO ACCREDITED INVESTOR STATUS CERTIFICATE

Risk Acknowledgement Form for Individual Accredited Investors

WARNING TO INVESTORS

This investment is risky. Don't invest unless you can afford to lose all the money you pay for this investment.

Canadian Securities Commission Contact Information