CORPORATION NAME

WAIVER TO SUBSCRIBE TO NEW STOCK

We, the undersigned stockholders of _______________________, hereby

declare:

That on ________________________, 20______, the capital stock of

_____________________ had been duly increased from _______________ to
_____________________; that under the law, by reason of such increase, we
have a right to subscribe to the new stock to be issued by the Corporation in
proportion to the number of shares owned and held by us in said corporation;
that we individually, hereby VOLUNTARILY RENOUNCE and WAIVE our
RIGHT OF PRE-EMPTION TO SUBSCRIBE TO THE NEW STOCK BY
REASON OF SAID INCREASE.

Signed on ______________, this ____ day of _________, 20___.

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