| G. Scott Waddell Company, Inc. |
| 1701 N. Greenville Ave., Suite 705 |
| Richardson, TX 75081 |
| Phone: 972-644-2053 |
| Tollfree: 866-644-2053 |
Please complete the information below to register your lead. This information will remain confidential. All Pre-determined finders fees will be paid upon receipt of clean purchase order and customer deposit to the furniture manufacturer.