BUSINESS OPPORTUNITY SALES CONSENT TO SERVICE OF PROCESS KNOW ALL MEN BY THESE PRESENTS: That the undersigned, (a corporation organized under the laws of the State of ) (a partnership) (an individual) (other ) for the purpose of complying with the laws of the State of North Carolina relating to business opportunity sales (Chapter 66, Article 19), hereby irrevocably appoints THE SECRETARY OF STATE and the successors in such office, its attorney in the State of North Carolina upon whom may be served any notice, process or pleading in any action or proceeding against it arising out of or in connection with the sale of business opportunities or out of violation of the aforesaid laws of said State; and the undersigned does hereby consent that any such action or proceeding against it may be commended in any court or competent jurisdiction and proper venue within said State by service of process upon said officer with the same effect as if the undersigned was organized or created under the laws of said State and had lawfully been served with process in said State. It is requested that copy of any notice, process or pleading served hereunder be mailed to: (Name and Address) Date: B y T itle B y T itle State of County I, , a Notary Public for said County and State, do hereby certify that personally appeared before me this day and acknowledged the due execution of the foregoing instrument. Witness my hand and official seal, this the day of , . (Official Seal) My commission expires