SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, ____________________________, ________ and of legal age, with residence and postal

address at __________________________________________________________________ , do
hereby APPOINT ____________________________, ________, likewise of legal age, with
postal address at _______________________________________________________________,
as my true and legal representative to act for and in my name and stead and to perform the
following acts:

To transact, process, receive, manage and present myself for purposes of and in connection with
my membership to Royale Business Club International Inc.
(Claiming of Cheques, Products, Packages and etc.)

HEREBY GRANTING unto my representative full power and authority to execute and perform
every act necessary to effectively manage my account/s as member, as though myself, has so
performed it, and HEREBY APPROVING ALL that the appointee may do by virtue hereof with
full right of substitution of his/her person and revocation of this instrument.

IN WITNESS WHEREOF, WE HAVE HEREUNTO SET OUR HANDS THIS _______ DAY
OF _____________ 2009, AT ______________________________________.

_______________________ _____________________________
(Name of Principal) (Name of Agent/ Attorney-In-Fact)