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:
Appears in 1 contract
Sources: Private Placement Subscription Agreement (Pan American Gold Corp)
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 US$0.80 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:
Appears in 1 contract
Sources: Private Placement Subscription Agreement (Pan American Gold Corp)
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 US$0.90 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:
Appears in 1 contract
Sources: Private Placement Subscription Agreement (Pan American Gold Corp)