Subscription Particulars. (a) The Purchaser hereby agrees to purchase Shares as set forth below: Number of Shares: 11,100,000 Aggregate Purchase Price: $0.36036 ($0.36036 x 11,100,000 Shares): $4,000,000 Name of Purchaser: Rob McEwen Federal Tax ID No. or SS No:__________________________________________ Street Address: ______________________________________________________ City and Country: ____________________________________________________ Postal Code: _________________________________________________________ Contact Name: ________________________________________________________ Alternate Contacts Name: _____________________________________________ Phone No.: ___________________________________________________________ Fax No.: _____________________________________________________________ E-mail:________________________________________________________________ (b) Registration of the certificates representing the Shares should be made as follows (if space is insufficient, attach a list) - or leave blank if registration is to be as detailed in sub-clause (a) above. Name: _______________________________________________________________ Registration Address: _______________________________________________ City and Country: ___________________________________________________ Postal Code: ________________________________________________________ (c) Number of common shares of the Company owned by the Purchaser: ________________________
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Subscription Particulars. (a) The Purchaser hereby agrees to purchase Shares Units as set forth below: Number of SharesUnits: 11,100,000 ______________________________________________ Aggregate Purchase Price: Price at $0.36036 0.06 per Unit ($0.36036 0.06 x 11,100,000 number Shares): $4,000,000 ) = $ _____________________________________ Name of Purchaser: Rob McEwen _____________________________________________ Federal Tax ID No. or SS No:__________________________________________ Street Address: ______________________________________________________ City and Country: ____________________________________________________ Postal Code: _______:__________________________________________________ Contact Name: ________:________________________________________________ Alternate Contacts Name: _____:________________________________________ Phone No.: ___________________________________________________________ Fax No.: _____________________________________________________________ E-mail:________________________________________________________________
(b) Registration of the certificates representing the Shares should be made as follows (if space is insufficient, attach a list) - β or leave blank if registration is to be as detailed in sub-clause (a) above. Name: _______________________________________________________________ Registration Address: ___:____________________________________________ City and Country: ___________________________________________________ Postal Code: ________________________________________________________
(c) Number of common shares of the Company currently owned by the Purchaser: _________________________
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Sources: Stock Subscription Agreement (Fischer Watt Gold Co Inc)