Subscription Particulars. (a) The aggregate price of the Common Shares being subscribed for is $_________. The Common Shares are to be registered in the name of (same as name of Purchaser): . (b) Subject to paragraph 18 below, the Certificates representing the Common Shares are to be delivered to: Name of Purchaser: Please Print ___________________________________________________ Number of Common Shares: ____________________________ Address of Purchaser: __________________________________ Province/State: ______________________ Country: _________
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Subscription Particulars. (a) The aggregate price of the Common Shares being subscribed for is $_________. The Common Shares are to be registered in the name of (same as name of Purchaser): ):______________________.
(b) Subject to paragraph 18 below, the Certificates representing the Common Shares are to be delivered to: Name of Purchaser: Please Print ___________________________________________________ Number of Common Shares: ____________________________ Address of Purchaser: __________________________________ Province/State: ______________________ Country: _________
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