Authorization and Direction

TO: [Name of Escrow Agent]

Reference is made to the Escrow Agreement among [Name of Party 1 to Escrow Agreement],
[Name of Party 2 to Escrow Agreement], and [Name of Escrow Agent] dated [Date of Escrow
Agreement] (the “Escrow Agreement”). All capitalized words and phrases used herein shall have
the same meaning as in the Escrow Agreement unless the context otherwise requires.

In accordance with the terms of the Escrow Agreement, [Name of Party to Escrow Agreement
who is Authorizing Release of Funds] hereby authorizes and directs you to pay the sum of (US)
$[Amount Being Directed to be Paid (ie. $25,000.00)] from the Escrow Funds directly to:

[Name of Person to Whom Payment is to be Made]

[Address of Person to Whom Payment is to be Made]

Let this be your good and sufficient authority for so doing.

Dated: [Date (ie. July 31, 2002)]

Witness [NAME OF PARTY TO ESCROW

AGREEMENT WHO IS
AUTHORIZING RELEASE OF
FUNDS]