Vicinity Motor (VEVMQ) 40FR12B Initial registration of securities (Canada)

Exhibit 99.96

Appendix C to National Instrument 41-101

General Prospectus Requirements

Non-Issuer Form of Submission to

Jurisdiction and Appointment of Agent for 

Service of Process

1.	Name of issuer (the “Issuer”):
	Vicinity Motor Corp.
2.	Jurisdiction of incorporation, or equivalent, of Issuer:
	British Columbia
3.	Address of principal place of business of Issuer:
	3168 262 Street, Aldergove, BC, V4W 2Z6
4.	Description of securities (the “Securities”):
	Common Shares, Warrants, Subscription Receipts, Units, Debt Securities
5.	Date of the prospectus (the “Prospectus”) under which the Securities are offered:
	April 5, 2021
6.	Name of person filing this form (the “Filing Person”):
	Christopher Strong
7.	Filing Person’s relationship to Issuer:
	Director
8.	Jurisdiction of incorporation, or equivalent, of Filing Person, if applicable, or jurisdiction of residence of Filing Person
	Texas, USA
9.	Address of principal place of business of Filing Person:
	3811 Riverhills View Drive, Fort Worth, Texas, USA, 76109
10.	Name of agent for service of process (the “Agent”):
	Miller Thomson LLP
11.	Address for service of process of Agent in Canada (the address may be anywhere in Canada):
	400 – 725 Granville Street, Vancouver, BC, V7Y 1G5
12.	The Filing Person designates and appoints the Agent at the address of the Agent stated above as its agent upon whom may be served any notice, pleading, subpoena, summons or other process in any action, investigation or administrative, criminal, quasicriminal, penal or other proceeding (the “Proceeding”) arising out of, relating to or concerning the distribution of the Securities made or purported to be made under the Prospectus, and irrevocably waives any right to raise as a defence in any such Proceeding any alleged lack of jurisdiction to bring the Proceeding.

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13.	The Filing Person irrevocably and unconditionally submits to the non-exclusive jurisdiction of
	(a)	the judicial, quasi-judicial and administrative tribunals of each of the provinces of Canada in which the securities are distributed under the Prospectus; and
	(b)	any administrative proceeding in any such province [or territory], in any Proceeding arising out of or related to or concerning the distribution of the Securities made or purported to be made under the Prospectus.
14.	Until six years after completion of the distribution of the Securities made under the Prospectus, the Filing Person shall file a new submission to jurisdiction and appointment of agent for service of process in this form at least 30 days before termination of this submission to jurisdiction and appointment of agent for service of process.
15.	Until six years after completion of the distribution of the Securities under the Prospectus, the Filing Person shall file an amended submission to jurisdiction and appointment of agent for service of process at least 30 days before a change in the name or above address of the Agent.
16.	This submission to jurisdiction and appointment of agent for service of process shall be governed by and construed in accordance with the laws of the Province of British Columbia.

Dated: April 5, 2021	“Christopher Strong”
	Signature of Filing Person
	Christopher Strong
	Print name of person signing and, if the Filing Person is not an individual, the title of the person

AGENT

The undersigned accepts the appointment as agent for service of process of Christopher Strong under the terms and conditions of the appointment of agent for service of process stated above.

Dated: April 5, 2021	“Miller Thomson LLP”
	Signature of Agent
	Kathy Tang, Partner
	Print name of person signing and, if Agent is not an individual, the title of the person

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