Registration Instructions. The name and address of the person in whose name the Purchaser's securities are to be registered is as follows (if the name and address is the same as was inserted in paragraph B above, then insert "see B above"): Name: ____________________________________________________________________ SSN or EIN: _______________________________________________________________ Address: __________________________________________________________________ Address: __________________________________________________________________ City, State, Zip: ____________________________________________________________ Telephone: ________________________________________________________________
Appears in 2 contracts
Sources: Private Placement Subscription Agreement (FOCUS GOLD Corp), Private Placement Subscription Agreement (FOCUS GOLD Corp)
Registration Instructions. The name and address of the person in whose name the Purchaser's securities are to be registered is as follows (if the name and address is the same as was inserted in paragraph B above, then insert "see B above"): Name: “See B above”_______________________________________ Name ______________________________ SSN or EIN: _________________________________▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ______________________________ Address: __________________________________________________________________ Address: __________________________________________________________________ City, State, Zip: ____________________________________________________________ Telephone: ________________________________________________________________Country, Zip Code
Appears in 1 contract
Sources: Private Placement Subscription Agreement (Myecheck Inc.)
Registration Instructions. The name and address of the person in whose name the Purchaser's securities are to be registered is as follows (if the name and address is the same as was inserted in paragraph B above, then insert "see B above"): Name: “See B above”_____________________________ Name ________________________________________ SSN or EIN: _______________________▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ________________________________________ Address: __________________________________________________________________ Address: __________________________________________________________________ City, State, Zip: ____________________________________________________________ Telephone: ________________________________________________________________Country, Zip Code
Appears in 1 contract
Sources: Private Placement Subscription Agreement (Myecheck Inc.)