FORM OF SUBSCRIPTION Clause Samples

The 'Form of Subscription' clause defines the required format and content for an investor's commitment to purchase securities in an offering. It typically specifies the documents or agreements that must be completed, such as a subscription agreement, and may outline the information or representations the subscriber must provide. This clause ensures that all subscriptions are made in a consistent and legally binding manner, reducing ambiguity and facilitating the orderly processing of investments.
FORM OF SUBSCRIPTION. (To be signed only upon exercise of Warrant)
FORM OF SUBSCRIPTION. (To be signed only upon exercise of Option)
FORM OF SUBSCRIPTION. TO: Intelimax Media Inc. ▇▇▇ ▇. ▇▇▇▇▇▇▇▇, Suite 2320,Vancouver, British Columbia, V6B 4N4 The undersigned Holder of the within Warrants hereby subscribes for ____________ common shares (the “Shares”) of Intelimax Media Inc. (the “Company) pursuant to the within Warrants at US$0.30 per Share on the terms specified in the said Warrants. This subscription is accompanied by a certified cheque or bank draft payable to or to the order of the Company for the whole amount of the purchase price of the Shares. The undersigned hereby directs that the Shares be registered as follows: TOTAL: (Please print full name in which share certificates are to be issued, stating whether Mr., Mrs. or Miss is applicable). DATED this ________ day of __________________ , ______. In the presence of: ________________________________________ Signature of Witness ____________________________________________ Signature of Warrant Holder
FORM OF SUBSCRIPTION. TO: PointStar Entertainment Corp. ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇ ▇▇▇▇▇ # ▇▇▇,▇.▇. ▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇, ▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇ The undersigned Holder of the within Warrants hereby subscribes for ____________ common shares (the “Shares”) of Pointstar Entertainment Corp. (the “Company) pursuant to the within Warrants at US$0.60 per Share on the terms specified in the said Warrants. This subscription is accompanied by a certified cheque or bank draft payable to or to the order of the Company for the whole amount of the purchase price of the Shares. The undersigned Holder hereby certifies that the undersigned is not a U.S. person and is not subscribing for the Shares on Behalf of a U.S. person. The undersigned hereby directs that the Shares be registered as follows: TOTAL: (Please print full name in which share certificates are to be issued, stating whether Mr., Mrs. or Miss is applicable). DATED this ________ day of __________________ , ______. In the presence of: Signature of Witness Signature of Warrant Holder
FORM OF SUBSCRIPTION. (To be signed only upon exercise of Warrant) To River Oaks Furniture, Inc. The undersigned, the Holder of the within Warrant, hereby irrevocably elects to exercise the purchase right represented by such Warrant for, and to purchase thereunder, ________(1) shares of Common Stock of River Oaks Furniture, Inc. and herewith makes payment of $______________ therefor, and requests that the certificate or certificates for such shares be issued in the name of and delivered to the undersigned. Dated ------------------------------------------- (Signature must conform in all respects to name of Holder as specified on the face of the Warrants) ------------------------------------------ (Address) ---------------- (1) Insert here the maximum number of shares or, in the case of a partial exercise, the portion thereof as to which the Warrant is being exercised.
FORM OF SUBSCRIPTION. TO: Nexaira Wireless Inc. 1404 – ▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇ ▇▇▇ The undersigned Holder of the within Warrants hereby subscribes for _____________ common shares (the “Shares”) of Nexaira Wireless Inc. (the “Company”) pursuant to the within Warrants at US$1.00 per Share on the terms specified in the said Warrants. This subscription is accompanied by a certified cheque or bank draft payable to or to the order of the Company for the whole amount of the purchase price of the Shares. The undersigned represents that, at the time of the exercise of these Warrants, all of the representations and warranties contained in Section 6 of the Subscription Agreement between the Company and the undersigned pursuant to which these Warrants were issued are true and accurate. The undersigned hereby directs that the Shares be registered as follows: TOTAL: (Please print full name in which share certificates are to be issued, stating whether Mr., Mrs. or Miss is applicable). DATED this _________ day of ___________________, ________. In the presence of: Signature of Witness Signature of Warrant Holder
FORM OF SUBSCRIPTION. TO: Pan American Gold Corporation Suite 605 – ▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ Vancouver, BC V6C 2B3 The undersigned Holder of the within Warrants hereby subscribes for ____________ common shares (the “Shares”) of Pan American Gold Corporation (the “Company) pursuant to the within Warrants at CDN$0.83 per Share on the terms specified in the said Warrants. This subscription is accompanied by a certified cheque or bank draft payable to or to the order of the Company for the whole amount of the purchase price of the Shares. The undersigned Holder hereby certifies that the undersigned is not a U.S. person and is not subscribing for the Shares on behalf of a U.S. person. The undersigned hereby directs that the Shares be registered as follows:
FORM OF SUBSCRIPTION. [To be executed only upon exercise of Warrant] To Simm▇▇▇ ▇▇▇dings, Inc.: The undersigned registered holder of the within Warrant hereby irrevocably exercises such Warrant for, and purchases thereunder, ______________ (1) shares of the Common Stock and herewith makes payment of $______________ therefor, and requests that the certificates for such shares be issued in the name of, and deliver to ______________, whose address is Dated: --------------------------------------- (Signature must conform in all respects to name of holder as specified on the face of Warrant) --------------------------------------- (Street Address) --------------------------------------- (City) (State) (Zip Code)
FORM OF SUBSCRIPTION. [To be executed only upon exercise of Warrant]
FORM OF SUBSCRIPTION. TO: Eden Energy Corp. 1925 – ▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇ ▇▇▇ The undersigned Holder of the within Warrants hereby subscribes for ____________ common shares (the “Shares”) of Eden Energy Corp. (the “Company) pursuant to the within Warrants at [US$3.25 or US$5.25] per Share on the terms specified in the said Warrants. This subscription is accompanied by a certified cheque or bank draft payable to or to the order of the Company for the whole amount of the purchase price of the Shares. The undersigned hereby directs that the Shares be registered as follows: TOTAL: (Please print full name in which share certificates are to be issued, stating whether Mr., Mrs. or Miss is applicable). DATED this ________ day of __________________, 2006. In the presence of: Signature of Witness Signature of Warrant Holder