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Form Mld-1 - Uniform Notification Form For Multi-Level Distribution Companies With A Montana Participant Page 4

Orig. 9/99

UNIFORM CONSENT TO SERVICE OF PROCESS

KNOW ALL PEOPLE BY THESE PRESENTS:

That the undersigned__________________________________,

organized under the laws of ____________________________________ for

purposes of complying with the laws of the State of Montana relating to either the

sale, distribution or supplying of goods or services through independent agents,

contractors, or distributions at different levels of distribution through a multilevel

distribution company, hereby irrevocably appoints the Montana State Auditor and

successors in such office, its attorney in the State of Montana upon whom may

be serviced any notice, process, or pleading in any action or proceeding against

it arising out of, or in connection with, the sale, distribution or supplying of goods

or services through a multilevel distribution company or out of violation of the

aforesaid laws of the State of Montana; and the undersigned does hereby

consent that any such action or proceeding against it may be commenced in any

court of competent jurisdiction and proper venue within Montana by service of

process upon the officers so designated with the same effect as if the

undersigned was organized or created under the laws of that State and have

been served lawfully with process in that State:

The Company requests that a copy of any notice, process or pleading served

hereunder be mailed to the Company or its agents at the following address:

________________________________________________________________

Name

________________________________________________________________

Address

Dated this ______ day of ___________, 19 __

By:_________________________________

Title:________________________________

By:_________________________________

Title:________________________________

Orig. 9/99

Form Mld-1 - Uniform Notification Form For Multi-Level Distribution Companies With A Montana Participant Page 4