RECEIPT FOR SERVICES RENDERED IN EXCHANGE FOR SHARE OF STOCK
In consideration of the satisfactory completion of the following services actually rendered to, or labor done for Recipient, Services Performed: 1 2 3 the provider of the aforementioned services or labor provided hereby acknowledges the receipt of [N] shares of stock in [COMPANY NAME] as full compensation for these services.
Agreed and Accepted: For Provider of Services: For Recipient of Services:
(Please sign above and print name and title here) Date: August 12, 2008
(Please sign above and print name and title here) Date: August 12, 2008