ANTIGUA:

WHEN AN AOA IS RECEIVED SIGNED BY SOMEONE OTHER THAN AN OFFICER OF THE COMPANY:

The Registrar in Antigua is exercising an increased scrutiny of documents such as the Authorisation of Agent Forms (“AOA”) being executed by an external representative for the Applicant/Proprietor of the Mark.Upon examination of the forms, the Registrar may require proof that whoever signed the form is an Authorized Signatory who can sign on behalf of the Applicant/Proprietor. Therefore, to avoid possible processing delays, we recommend that all forms signed on behalf of the Applicant/Company are signed by a registered officer of the company.

The form may also be signed by any authorized signatory of the company provided that we can prove that he/she is authorized to sign the document on behalf of the company. So that we are prepared to overcome a possible objection, where the form is signed by an authorized signatory, please send us an original or certified copy of a Power of Attorney indicating that the person signing the AOA is authorized to sign on behalf of the company. The Power of Attorney should have the seal of the company and should be signed by an officer of the Applicant/Company.

The person signing the form on behalf of the company should state their name and the position held at the company, or state the relationship between the person signing the form and the applicant company.

REGISTRAR’S OFFICE, ANTIGUA AND BARBUDA

Form No. 2For Official Use

THE TRADEMARKS ACT, 2003

AUTHORISATION OF AGENT

Date of Receipt by Registrar’s

Office:

APPLICATION No.:

  1. APPOINTMENT

The undersigned hereby appoints as his representative with power of revocation and substitution the person identified in item 3, below.

______

  1. NAME OF THE PERSON MAKING THE APPOINTMENT

3.REPRESENTATIVE

Name:George C. J. Moore, P.A.; Attorneys Michael Slavin, Carl Spagnuolo and Keesha Fleming Lake

Address: 2855 PGA Boulevard, Palm Beach Gardens, Florida 33410, U.S.A.

Telephone numberFacsimileEmail address

4.APPLICATION(S) AND/OR REGISTRATION(S) CONCERNED

This authorization of agent concerns:

O all existing and future applications and/or registrations of the person making the

appointment, subject to any exception indicated on an additional sheet

Othe following application(s) and/or registration(s):

Othe application(s) concerning the following marks(s)

Othe application(s) having the following application number(s) as well as any

registration(s) resulting therefrom:

OIf the spaces are not sufficient, check this box and provide the information on an

additional sheet

______

5.SIGNATURE OR SEAL

Name of the natural person who signs or whose seal is used:

Date of signature or of sealing:

Signature or seal:

6.ADDITIONAL SHEETS AND ATTACHMENTS

OCheck this box if additional sheets and/or attachments are enclosed and indicate

the total number of such sheets and/or attachments:

Declared before me at ______

This ______day of ______, 201___
______
Notary Public