Subscription Information Clause Samples
Subscription Information. If an Individual: _____________________________________________________________________________ Full Name (type or print) Social Security Number _____________________________________________________________________________ Address, City, State, Zip Telephone If a Corporation: _____________________________________________________________________________ Full Corporation Name (type or print)Tax ID Number ____________________________________________________________________________ Head Office Address, City, State, Zip Telephone
Subscription Information. The Investor offers to purchase Units of the Fund as described in the Offering Memorandum (please select Series and indicate amount below):
Subscription Information. The Purchaser hereby subscribes, pursuant to this Subscription Agreement dated as of September 1 , 2015, for Units in the amounts set forth in Paragraph 14.1 below, and tenders payment in cash in consideration therefore, as further set forth below. Please make checks delivered in respect of subscriptions hereunder payable to “Bollente International, Inc.”
Subscription Information. Check the box for the Metric Asset Management Fund and series to which you are subscribing and input your subscription amount. Series details can be found in the Offering Memorandum.
Subscription Information. The Investor offers to purchase Units of the Fund as described in the Offering Memorandum (please select Series and indicate amount below): The Investor certifies that he/she holds units of Portland Global Energy Efficiency and Renewable Energy Fund LP. Yes ■ No ■
Subscription Information. Check the box for the ReSolve Fund(s) and series to which you are subscribing and input your subscription amount. Series details can be found in the Offering Memorandum of the applicable ReSolve Fund(s).
Subscription Information. If an Individual: If a Corporation --------------------------------- --------------------------------- Full Name Full Corporation Name --------------------------------- --------------------------------- Residential Address Head Office Address --------------------------------- --------------------------------- City Province/State Postal Code City Province/State Postal Code --------------------------------- --------------------------------- Telephone Telecopier Attention --------------------------------- --------------------------------- Social Security No. or Tax Telephone Telecopier Identification No. (US Persons) --------------------------------- --------------------------------- Social Security No. or Revenue Telephone Telecopier Canada Corporation No. (Canadian Residents)
Subscription Information. Please complete the following information. Requested Subscription Amount: $_______________ (subject to Company acceptance) Name of Purchaser as it is to appear on the Senior Secured Convertible Promissory Note and Warrant Indicate ownership as: ____ (a) Individual ____ (b) Community Property ____ (c) Joint Tenants with Right of Survivorship ) All parties ____ (d) Tenants in Common ) must sign ____ (e) Corporate ____ (f) Partnership ____ (g) Trust ____________________________________ Address of Residence (or Business, if not an individual) __________________________________ Address for Sending Notices (if different) __________________________________ City, State and Zip Code __________________________________ City, State and Zip Code __________________________________ Telephone __________________________________ Telephone __________________________________ State of Residence (or State of Organization, if an entity) __________________________________ State of Residence (or State of Organization, if an entity) __________________________________ SSN/TIN __________________________________ SSN/TIN __________________________________ E-mail __________________________________ E-mail
Subscription Information. You agree to provide Appian with sufficient and accurate information to support Your subscription, including but not limited to, the total number of employees in Your organization, Your organization’s name and headquarters location, the identity and contact information for Your subscription administrator (the person responsible for administering the Solution in Your organization), and the identity and contact information for person responsible for paying for Your subscription. To the extent that You have provided such information to Amazon Web Services, You consent to Amazon Web Services providing it to Appian.
Subscription Information. Check the box for the class to which you are subscribing and input your subscription amount. Class details can be found in the Offering Memorandum.