Common use of Subscription Particulars Clause in Contracts

Subscription Particulars. The aggregate number of Shares subscribed for is . The Shares are to be registered in the name of: The certificate(s) representing the Shares are to be delivered to: at its office at: Contact Name and Number: If the Purchaser is signing as agent for a principal and not as agent for a fully managed account, the name and address of the beneficial purchaser is: DATED at this day of , 2007. Name of Purchaser (please type or print) By: (Signature of Authorized Representative) (Name of Person Signing) Office or Title Address of Purchaser

Subscription Particulars. The aggregate number of Shares subscribed for is . The Shares are to be registered in the name of: The certificate(s) certificates representing the Shares are to be delivered to: at its office at: Contact Name and Number: If the Purchaser is signing as agent for a principal and not as agent for a fully managed account, the name and address of the beneficial purchaser is: DATED at this day of , 20072006. Name of Purchaser (please type or print) By: (Signature of Authorized Representative) (Name of Person Signing) Office or Title Address of Purchaser