[COMPANY LOGO GOES HERE]

Broker Agreement
(Agreement of Introduction)
!i" Agreement i" entered into #" of [$#%& Mont!& Ye#r] 'et(een
))))))))))))))))))))))) (*COMPANY+) #
)))))))))))))))))))))))))))))))))))))))))))))))& (it! office" ,oc#ted #t
)))))))))))))))))))))))))))))))))))))))))))))))))& #nd ))))))))))))))))))))or
#""ignee& (it! office" #t ))))))))))))))))))))))))))))))))))))) (*-RO.ER *)/
A/ COMPANY i" # ))))))))))0n#me Product" or
Ser1ice"2))))))))))))))))))))))))/ COMPANY de"ire" to !#1e -RO.ER
)))))))))))))0,i"t "er1ice" offered2)))))))))) for t!e COMPANY& t!i" inc,ude"
)))))))))))))))))0$et#i,ed $e"cri3tion2)))))))))))))))))))))))))))))))))))))/
-/ !e -RO.ER i" eng#ged to )))))))))0n#me Pro4ect& Product" or
Ser1ice"2))))))))) to COMPANY/ !e -RO.ER "!#,, 'e entit,ed to com3en"#tion for
#,, re1enue" gener#ted on #,, tr#n"#ction" t!e COMPANY gener#te" from
))))))))))))))))))))))))))))))))))))))))) gener#ted '% -RO.ER/
5/ Inde3endent N#tion#, -ro6er/
5/5 A33ointment/ COMPANY !ere'% #33oint" -RO.ER #" #n
inde3endent S#,e" -ro6er for t!e introduction of )))))))))))))))))))))))))))))
COMPANY 3roduct" for ))))))))))))))/ -RO.ER !ere'% #cce3t" "uc! #33ointment/
!e #33ointment i" "u'4ect to t!e term" #nd condition" cont#ined in t!i"
Agreement/
5/7 Licen"e to M#r6"/ $uring t!e term of t!i" Agreement COMPANY !ere'%
gr#nt" -RO.ER # non8e9c,u"i1e& ,imited #nd re1oc#',e ,icen"e to u"e t!e n#me"&
tr#dem#r6" #nd "er1ice m#r6" (*M#r6"+) o(ned or ,icen"ed '% COMPANY/ -RO.ER
"!#,, u"e t!e M#r6" "o,e,% in connection (it! t!e introduction& #nd 3romotion of
COMPANY 3roduct" #nd "er1ice"/ -RO.ER "!#,, u"e t!e M#r6" in #ccord#nce (it!
guide,ine" e"t#',i"!ed '% COMPANY from time to time/
5/: erritor%;Account"/ No geogr#3!ic#, erritor% i" inc,uded #nd -RO.ER
"!#,, introduce #nd 3romote 3roduct" #nd "er1ice" to #n% m#r6et #33ro1ed '% t!e
COMPANY/
5/< Re,#tion"!i3/ -RO.ER enter" into t!i" Agreement #"& #nd "!#,,
continue to 'e& #n inde3endent contr#ctor/ =nder no circum"t#nce" "!#,, -RO.ER
,oo6 to COMPANY #" #n em3,o%er& or #" # 3#rtner& #gent& or 3rinci3#,/ -RO.ER "!#,,
not 'e entit,ed to #n% 'enefit" #ccorded to em3,o%ee" of COMPANY& inc,uding
(or6er"> com3en"#tion& di"#'i,it% in"ur#nce& 1#c#tion or "ic6 3#%/ -RO.ER "!#,, 'e
re"3on"i',e for 3ro1iding& #t it" o(n e93en"e& #nd in -RO.ER>" n#me& di"#'i,it%&
(or6er"> com3en"#tion or ot!er in"ur#nce #" (e,, #" ,icen"e" #nd 3ermit" #"
re?uired '% ,#( for 3erforming t!e "er1ice" de"cri'ed in t!i" Agreement/ -RO.ER i"
not gr#nted #n% rig!t or #ut!orit% to #""ume or cre#te #n% o',ig#tion or
re"3on"i'i,it%& e93re"" or im3,ied& on 'e!#,f of or in t!e n#me of COMPANY or to
'ind COMPANY in #n% m#nner/
@er"ion ))));))));)))))) 5 | P # g e
[COMPANY LOGO GOES HERE]
5/A Line" So,d Ot!er !#n COMPANY/ A" #n Inde3endent Contr#ctor&
-RO.ER doe" not
re3re"ent COMPANY e9c,u"i1e,% #nd i" not re"tricted '% t!i" Agreement from
re3re"enting #n% ot!er M#nuf#cturer of non8conf,icting '#n6ing "er1ice" or 3roduct"
t!#t do not interfere (it! t!e "#,e" of COMPANY>" 3roduct"/
7/ O',ig#tion" of N#tion#, -ro6er
7/5 -e"t Effort"/ -RO.ER #gree" to de1ote it" 'e"t effort" to
)))))0Pro4ect2 ))))) in #ccord#nce (it! t!i" Agreement/
7/7 Conduct/ -RO.ER co1en#nt" #nd #gree" t!#t #t #,, time" t!e com3#n%
#nd it" em3,o%ee" #nd #gent"& if #n%& "!#,, conduct t!em"e,1e" #nd t!eir 'u"ine""
in #n et!ic#, #nd ,eg#, m#nnerB #nd t!#t t!e% (i,, #'ide '% #,, #33,ic#',e ,#("& ru,e"
#nd regu,#tion" of feder#,& "t#te #nd ,oc#, go1ernment #ut!oritie"/ -RO.ER
indemnifie" COMPANY for #n% c,#im"& ,o""e"& co"t"& fee"& ,i#'i,itie"& d#m#ge" or
in4urie" "uffered '% -RO.ER #ri"ing out of -RO.ER>" 're#c! of t!i" Section 7/7/
7/: E93en"e"/ -RO.ER i" re"3on"i',e for #,, e93en"e" in connection (it!
'u"ine"" of -RO.ER& #nd #,, of it" Inde3endent S#,e" Re3re"ent#ti1e"& "!#,, 3#%&
(!en #nd #" due& #n% #nd #,, t#9e" incurred #" # re"u,t of com3en"#tion 3#id '%
COMPANY to -RO.ER& inc,uding e"tim#ted t#9e"/ -RO.ER indemnifie" COMPANY for
#n% c,#im"& ,o""e"& co"t"& fee"& ,i#'i,itie"& d#m#ge" or in4urie" "uffered '% COMPANY
#ri"ing out of -RO.ER>" 're#c! of t!i" Section 7/:/
7/< Confidenti#,it%B Non8$i"3#r#gement/ -RO.ER #nd COMPANY #gree&
for t!e term of t!i" Agreement #nd #t #n% time t!ere#fter& t!#t #n% 3ro3riet#r%
inform#tion #nd di"cu""ion" "uc! #"& 'ut not ,imited to& identitie" of cor3or#tion"&
indi1idu#,"& 'u%er" or "e,,er"& "#,e" inform#tion& 3ricing inform#tion& 3roduct
m#nuf#cturing #nd de1e,o3ment& tr#de "ecret"& "u33,ier ,i"t" or ot!er confidenti#,
inform#tion or document" di"c,o"ed '% COMPANY or -RO.ER under t!i" Agreement
(*Confidenti#, Inform#tion+) "!#,, not 'e (5) u"ed '% -RO.ER or COMPANY e9ce3t on
'e!#,f of t!e ot!er 3#rt%& or (7) di"c,o"ed to #n% t!ird 3#rtie"& (it!out t!e e93re""
3rior con"ent of t!e ot!er 3#rt%/ -RO.ER #nd COMPANY furt!er co1en#nt" #nd
#gree" t!#t #t #,, time" during t!e term of t!i" Agreement #nd #t #n% time
t!ere#fter& "!#,, not di"3#r#ge or def#me t!e good(i,,& re3ut#tion& im#ge or
commerci#, intere"t of t!e ot!er 3#rt%/
7/A Non8Circum1ention/ !e under"igned !ere'% confirm t!#t t!e
identitie" of t!e cor3or#tion"& indi1idu#,"& 'u%er" or "e,,er" introduced '% -RO.ER
#re current,% t!e 3ro3ert% of t!e -RO.ER #nd "!#,, rem#in "o for t!e dur#tion of t!i"
#greement/ !e term of t!i" #greement i" fi1e (A) %e#r" from t!e d#te #ffi9ed 'e,o(
#nd i" to 'e #33,ied to #n% #nd #,, tr#n"#ction" entered into '% t!e under"igned&
inc,uding fo,,o(8u3 re3e#t& e9tended or renegoti#ted tr#n"#ction reg#rd,e"" of t!e
"ucce"" of t!e 3ro4ect/ COMPANY #gree" #nd "!#,, not circum1ent or #ttem3t to
circum1ent -RO.ER #nd enter into #n% #greement or #rr#ngement (it! #n%one
introduced '% -RO.ER under t!e"e term"/
@er"ion ))));))));)))))) 7 | P # g e
[COMPANY LOGO GOES HERE]
:/ Cu"tomer -i,,ing& #nd -ro6er Commi""ion"
:/5 Cu"tomer -i,,ing/
(') -i,,ing& P#%ment #nd Co,,ection"/ COMPANY "!#,, c!#rge fee #nd
'i,, cu"tomer" direct,%/ !e cu"tomer" "!#,, m#6e #n%8#nd8#,, 3#%ment" direct,% to
COMPANY& COMPANY i" re"3on"i',e for co,,ecting #,, monie" from cu"tomer"/
:/7 -ro6er Commi""ion"
(a) -RO.ER "!#,, 'e entit,ed to Commi""ion" on #,, re1enue"
gener#ted on #,, tr#n"#ction" t!e COMPANY gener#te" from
))))))))))))))))))))))))))) gener#ted '% -RO.ER/ Commi""ion" "!#,, 'e 3#id #t #
r#te of ))))))C on #,, tr#n"#ction" for #" ,ong #" t!e cu"tomer rem#in" (it! t!e
COMPANY/ Commi""ion" #re 3#id to -RO.ER on or 'efore fi1e (A) d#%" #fter t!e
c,o"e of e#c! c#,end#r mont!/ If t!e -RO.ER termin#te" it" #""oci#tion (it!
COMPANY& -RO.ER "!#,, 'e entit,ed to recei1e commi""ion" for #,, introduction"
gener#ted '% -RO.ER/ !i" continuing rig!t to recei1e commi""ion" "!#,, #33,% to
ongoing& re"idu#, #nd #d1#nce commi""ion"/
:/: Product Li#'i,it%/ COMPANY #gree" to 3rotect& defend& !o,d !#rm,e""
#nd indemnif% -RO.ER from c,#im"& ,o""e"& co"t"& fee"& ,i#'i,itie"& d#m#ge" or
in4urie"& inc,uding re#"on#',e ,eg#, e93en"e" (co,,ecti1e,% *Lo""+)& "uffered '%
-RO.ER #ri"ing out of t!e de"ign& m#nuf#cture& u"#ge& #nd #d1erti"ement of t!e
Product" #nd "er1ice"& 3ro1ided t!#t "uc! indemnit% "!#,, not co1er #n% Lo""
c#u"ed in (!o,e or in 3#rt '% #n% #ct" or omi""ion" of -RO.ER/
</ ermin#tion
</5 Autom#tic ermin#tion/ !i" Agreement "!#,, #utom#tic#,,% termin#te
in t!e e1ent of t!e #""ignment for 'enefit of creditor"& ,i?uid#tion& di""o,ution&
in"o,1enc% or '#n6ru3tc% of COMPANY or -RO.ER/
</7 !i" Agreement m#% 'e termin#ted '% eit!er 3#rt% u3on fort%8fi1e (<A)
d#%" (ritten notice to t!e ot!er 3#rt%/ If termin#ted '% COMPANY& -RO.ER "!#,,
continue to recei1e commi""ion"& "u'4ect to t!e 3ro1i"ion" of 3#r#gr#3! :/7 (c)
#'o1e/
A/ Mi"ce,,#neou"/
A/5 Notice"/ An% notice& re?ue"t& dem#nd or ot!er communic#tion
re?uired or 3ermitted !ereunder "!#,, 'e in (riting #nd deemed to 'e 3ro3er,%
gi1en (!en de,i1ered 3er"on#,,% or de3o"ited in t!e =nited St#te" m#i,& 3o"t#ge
3re3#id& #ddre""ed to t!e #ddre""e" "3ecified on t!e fir"t 3#ge of t!i" Agreement&
#" "uc! m#% 'e c!#nged from time to time '% t!e 3#rtie"/
A/7 Entire Agreement/ !i" Agreement con"titute" t!e entire #greement
'et(een t!e P#rtie" concerning t!e "u'4ect m#tter !ere of #nd "u3ercede" #,, 3rior
#greement" re,#ted to "uc! "u'4ect m#tter/ E#c! of t!e P#rtie" #c6no(,edge" t!#t
no ot!er P#rt% or t!e #gent& re3re"ent#ti1e or #ttorne% of "uc! ot!er P#rt% !#"
@er"ion ))));))));)))))) : | P # g e
[COMPANY LOGO GOES HERE]
m#de #n% 3romi"e"& #greement"& co1en#nt"& re3re"ent#tion"& (#rr#ntie" or ot!er
inducement" (!#t"oe1er eit!er e93re"" or im3,ied& (ritten or or#,& concerning t!e
"u'4ect m#tter of t!i" Agreement t!#t i" not cont#ined in t!i" Agreement/ !i"
Agreement m#% 'e e9ecuted in counter3#rt"& e#c! of (!ic! "!#,, 'e deemed #n
origin#,& 'ut #,, of (!ic! "!#,, con"titute 'ut one #nd t!e "#me in"trument/
A/: Attorne%"D Eee"/ If #n% #ction #t ,#( or ine?uit% i" 'roug!t to enforce
or inter3ret t!e 3ro1i"ion" of t!i" Agreement& t!e 3re1#i,ing 3#rt% "!#,, 'e entit,ed
to re#"on#',e #ttorne%"D fee" #nd co"t" of co,,ection/
A/< Contro,,ing L#( #nd Furi"diction/ !i" Agreement "!#,, 'e go1erned '%
#nd con"trued in #ccord#nce (it! t!e ,#(" of t!e St#te of ))))))))))))))))&
reg#rd,e"" of t!e ,#(" or ru,e" t!#t mig!t ot!er(i"e go1ern under t!e 3rinci3,e" of
conf,ict" of ,#(" t!ereof/ !e 4uri"diction #nd 1enue for re"o,1ing #n% di"3ute"
re,#ted to t!i" Agreement "!#,, 'e t!e "t#te #nd feder#, court" in t!e count% t!#t
eit!er of t!e 3#rtie" re"ide c!o"en '% t!e 3#rt% t!#t i" fi,ing t!e di"3ute/ E#c! 3#rt%
!ere'% irre1oc#',% con"ent" to t!e 3er"on#, #nd e9c,u"i1e 4uri"diction #nd 1enue of
t!e court" c!o"en '% t!e 3#rt% t!#t i" fi,ing t!e di"3ute/

A/A Ar'itr#tion/ An% contro1er"%& c,#im or di"3ute #ri"ing out of or re,#ting
to t!i" Agreement& "!#,, 'e "ett,ed "o,e,% #nd e9c,u"i1e,% '% 'inding #r'itr#tion in
)))0cit%2))))& ))0"t#te2)))/ Suc! #r'itr#tion "!#,, 'e conducted in #ccord#nce (it!
t!e t!en 3re1#i,ing commerci#, #r'itr#tion ru,e" of FAMS;Endi"3ute (GFAMSG)& (it!
t!e fo,,o(ing e9ce3tion" if in conf,ictH (#) one #r'itr#tor "!#,, 'e c!o"en '% FAMSB (')
e#c! 3#rt% to t!e #r'itr#tion (i,, 3#% it" 3ro r#t# "!#re of t!e e93en"e" #nd fee" of
t!e #r'itr#tor& toget!er (it! ot!er e93en"e" of t!e #r'itr#tion incurred or #33ro1ed
'% t!e #r'itr#torB #nd (c) #r'itr#tion m#% 3roceed in t!e #'"ence of #n% 3#rt% if
(ritten notice (3ur"u#nt to t!e FAMSD ru,e" #nd regu,#tion") of t!e 3roceeding" !#"
'een gi1en to "uc! 3#rt%/ E#c! 3#rt% "!#,, 'e#r it" o(n #ttorne%" fee" #nd
e93en"e"/ !e 3#rtie" #gree to #'ide '% #,, deci"ion" #nd #(#rd" rendered in "uc!
3roceeding"/ Suc! deci"ion" #nd #(#rd" rendered '% t!e #r'itr#tor "!#,, 'e fin#,
#nd conc,u"i1e/ A,, "uc! contro1er"ie"& c,#im" or di"3ute" "!#,, 'e "ett,ed in t!i"
m#nner in ,ieu of #n% #ction #t ,#( or e?uit%B 3ro1ided !o(e1er& t!#t not!ing in t!i"
"u'"ection "!#,, 'e con"trued #" 3rec,uding t!e 'ringing #n #ction for in4uncti1e
re,ief or ot!er e?uit#',e re,ief/ !e #r'itr#tor "!#,, not !#1e t!e rig!t to #(#rd
3uniti1e d#m#ge" or "3ecu,#ti1e d#m#ge" to eit!er 3#rt% #nd "!#,, not !#1e t!e
3o(er to #mend t!i" Agreement/ !e #r'itr#tor "!#,, 'e re?uired to fo,,o(
#33,ic#',e ,#(/ IE EOR ANY REASON HIS AR-IRAION CLA=SE -ECOMES NO
APPLICA-LE& HEN EACH PARY& O HE E=LLES EIEN PERMIE$ -Y
APPLICA-LE LAJ& HERE-Y IRRE@OCA-LY JAI@ES ALL RIGH O RIAL -Y F=RY AS
O ANY ISS=E RELAING HEREO IN ANY ACION& PROCEE$ING& OR CO=NERCLAIM
ARISING O= OE OR RELAING O HIS AGREEMEN OR ANY OHER MAER
IN@OL@ING HE PARIES HEREO/
A/K Se1er#'i,it%/ If #n% 3ro1i"ion of t!i" Agreement i" in1#,id& i,,eg#,& or
unenforce#',e in #n% 4uri"diction& 3ro1ided t!#t #n e""enti#, 3ur3o"e of t!i"
Agreement (ou,d not 'e defe#ted& "uc! 3ro1i"ion "!#,, 'e deemed #mended to t!e
e9tent re?uired to m#6e it 1#,id& ,eg#, #nd enforce#',e& #nd t!e rem#ining
3ro1i"ion" "!#,, rem#in in fu,, force #nd effect in "uc! 4uri"diction #nd "!#,, not
@er"ion ))));))));)))))) < | P # g e
[COMPANY LOGO GOES HERE]
render t!#t or #n% ot!er 3ro1i"ion of t!i" Agreement in1#,id& i,,eg#,& or
unenforce#',e in #n% ot!er 4uri"diction/
A/L A""ignment #nd Succe""or" in Intere"t/ !i" Agreement #nd t!e rig!t"&
intere"t" or o',ig#tion" !ereunder m#% not 'e #""igned '% eit!er of t!e 3#rtie" ('%
o3er#tion of ,#( or ot!er(i"e) un,e"" #greed to in (riting '% 'ot! 3#rtie"/
A/M Modific#tion"& Amendment" #nd J#i1er"/ No #mendment&
modific#tion or (#i1er in
re"3ect of t!i" Agreement "!#,, 'e effecti1e un,e"" it "!#,, 'e in (riting #nd "igned
'% 'ot! 3#rtie"/
A/N Inter3ret#tion/ !e !e#ding" cont#ined in t!i" Agreement #re for
reference 3ur3o"e"
on,% #nd "!#,, not #ffect in #n% (#% t!e me#ning or inter3ret#tion of t!i"
Agreement/
Signatures on Next Page
IN JINESS JHEREOE& t!e 3#rtie" !#1e du,% e9ecuted t!i" Agreement& to 'e
effecti1e #" of t!e d#te fir"t (ritten #'o1e/
[COMPANY NAME]
A ))))))))))))))) Com3#n%
[COMPANY NAME]
A ))))))))))))))) Com3#n%
(5) I)))))))))))))))))))))))))))))))))))))
N#meH
it,eH
AGREED TO AND ACCEPTED ON ____ _______,
2010
(7) I)))))))))))))))))))))))))))))))))))))
N#meH
it,eH
AGREED TO AND ACCEPTED ON ____ _______,
2010
@er"ion ))));))));)))))) A | P # g e