HOW TO COMPLETE THIS FORM

If you should wish to enter into either or both (1) the Customer Loan Security & Storage Agreement and (2) the Customer Purchase and Sale Agreement, the terms of which are enclosed in the agreement provided, then please complete your account application form, in accordance with the instruction given below:

A. Please complete all sections of this form in BLOCK CAPITALS and in BLACK INK.

B. Once this form has been completed, completed, please send it to AAA VAULT Inc. at 4750 Yonge St. Suite 318, Toronto, Ontario, M2N 0J6, Canada.

C. If you should have any questions regarding the completion of this form or require any further information please call your Account Executive.

YOUR CONTACT INFORMATION

YOUR ACCOUNT DETAILS

PURCHASE AND SALE AGREEMENT

If you should wish to enter into the Purchase and Sale Agreement with AAA VAULT inc. ('AAAV') in the form attached then please complete the declaration and attestation to the Purchase & Sale Agreement below. I, the Customer, hereby declare that I have read and received the Purchase and Sale Agreement of AAAV and that I fully understand the terms of the same. I wish to open an account with AAA VAULT. whose details are given in the Purchase & Sale Agreement in accordance with the terms set out therein.

I fully understand that this will create a legally binding agreement with AAAV, which becomes legally binding upon confirmation by AAAV of acceptance.

LOAN, SECURITY & STORAGE AGREEMENT

If you should wish to enter into the Loan, Security and Storage Agreement with AAA VAULT Inc. ('AAAV') in the form attached, then please complete the declaration and attestation to the Credit Agreement below:

I, the Borrower, hereby declare that I have read and received the Credit Agreement of AAAV, and that I fully understand the terms of the same. I wish to open an account with AAAV whose details are give in the Credit Agreement in accordance with the terms set out therein. I fully understand that this will create a legally binding agreement with AAAV, which becomes effective upon confirmation by AAAV of acceptance.

RISK DISCLOSURE ACKNOWLEDGEMENT

I, the Customer, hereby declare that I have read and received the AAA VAULT Risk disclosure and statement of additional risks and that I fully understand the terms of same.

ELECTRONIC DELIVERY CONSENT

Borrower acknowledges that by electronically receiving your confirmations and statements, you agree to promptly read, review and communicate to us any discrepancies. Your confirmation and monthly statements are deemed received by you when made available by AAA VAULT, regardless of whether you actually access the documents. It is your sole responsibility to provide AAA VAULT with any changes to your e-mail address and to notify AAA VAULT promptly of any difficulty in accessing, opening or otherwise viewing an electronically transmitted document. AAA VAULT will not be held responsible for any losses you incur due to any failure of delivery or receipt of e-mail confirmations, commodity transfer notices or monthly statements.

By your signature below, you represent that the delivery and execution of this consent has been duly authorized.