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This Rider is attached to the Cryonic Suspension Agreement between

______________________________________________________________________________

currently residing at _____________________________________________________________

(hereinafter referred to as the "Patient") and the CRYONICS INSTITUTE, a Michigan nonprofit corporation (hereinafter "CI"), which agreement was finally executed at Clinton Township, Michigan.

The Patient joined CI as an "Yearly Membership" member; the membership application is attached hereto for reference. It is acknowledged by the Patient that all duties of CI under the Cryonic Suspension Agreement shall have as a Condition Precedent the full and timely payment of Yearly Membership Dues by the Patient to CI.

IN WITNESS WHEREOF, the parties have signed this Agreement, which is finally executed at

Clinton Township, Michigan.

CRYONICS INSTITUTE: by _________________________________________________

It's Contract Officer, dated ___________________

PATIENT (CI MEMBER) _______________________________, dated ______________

Subscribed and sworn to before me this _____ day of ________________________________

Signature of Notary Public _____________________________________________________

Name of Notary ________________________ County and State _______________________

If two witnesses are used instead of a notary, for each witness please show signature, printed name, address, and date:

Witness 1 Signature __________________________________________Date ____________

Printed Name _______________________________________________________________

Address ___________________________________________________________________

Witness 2 Signature __________________________________________Date ____________

Printed Name _______________________________________________________________

Address ___________________________________________________________________