Pin Services Ltd.  #209 - 1027 Pandora Ave.  Victoria, BC Canada V8V 3P6

RECEIPT

Date: ______________________

Received Cheque from:

Name ____________________________________

Address __________________________________

_________________________________________

Phone: ____________________________________

Amount of Cheque: __________________________

Payment For: _______________________________________________________

Setup Fee: _________________________

Advertising Fee: _____________________

Balance due to PIN SERVICES LTD. IN THE FUTURE:  (show $ or nil, DO NOT leave blank)

___________________________________________________________________


NAME AND SIGNATURE OF AUTHORIZED PIN AGENT:

___________________________________________________________________

___________________________________________________________________


NAME AND SIGNATURE OF ADVERTISER:

____________________________________________________________________

___________________________________________________________________


*NOTE - ALL CHEQUES TO BE MADE OUT TO PIN SERVICES LTD.