For Broker Sample Clauses

For Broker. Dealer Use Only Broker/Dealer Firm Name -------------------------------------------------- Address ------------------------------------------------------------------- City State Zip ------------------------------ ------------ ----------------- Telephone Fax ------------------------- ----------------------------------- Registered Representative ------------------------------------------------ SUBSCRIPTION AGREEMENT SIGNATURE PAGE FOR INDIVIDUAL INVESTORS ------------------------ Total Preferred Stock subscribed:__________ $______________ INVESTOR #1 INVESTOR #2 -------------------------------------- ------------------------------------ Signature Signature -------------------------------------- ------------------------------------ Social Security Number Social Security Number -------------------------------------- ------------------------------------ Print or Type Name Print or Type Name Residence Address Residence Address ----------------- ----------------- -------------------------------------- ------------------------------------ -------------------------------------- ------------------------------------ -------------------------------------- ------------------------------------ -------------------------------------- ------------------------------------ Executed at , ,this day of , 19 . ------------------------- ------- ------ ---------- ---- SUBSCRIPTION ACCEPTED: BY: --------------------------------- Authorized Representative DATE: ------------------------------- SUBSCRIPTION AGREEMENT SIGNATURE PAGE FOR TRUST INVESTORS ------------------- Total Preferred Stock subscribed:__________ $______________ -------------------------------------- --------------------------------------- Name of Trust (please print or type) Date Trust was formed -------------------------------------- ---------------------------------------- Name of Trust (please print or type) Name of Co-trustee (please print or type) -------------------------------------- ---------------------------------------- Trustee's Signature Co-trustee's Signature -------------------------------------- ---------------------------------------- Social Security Number Social Security Number Trustee's Address Co-trustee's Address -------------------------------------- --------------------------------------- -------------------------------------- --------------------------------------- -------------------------------------- --------------------------------------- -------------------------------------- ----------...
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Related to For Broker

  • No Broker Neither Seller nor any Affiliate of Seller has dealt with any broker, investment banker, agent or other Person, except for Buyer or an Affiliate of Buyer, who may be entitled to any commission or compensation in connection with any Transaction.

  • The Broker Dealer understands and agrees that in performing the services covered by this Agreement, it is acting in the capacity of an independent contractor and not as an agent or employee of PEPCO, and that it is not authorized to act for, or make any representation on behalf of, PEPCO or the Insurer except as specified herein. Broker-Dealer understands and agrees that PEPCO shall execute telephone transfer orders only in accordance with the terms and conditions of the then current prospectus applicable to the contracts and/or policies and agrees that, in consideration for the Broker-Dealer's right to exercise the telephone transfer privilege, neither PEPCO nor the Insurer will be liable for any loss, injury or damage incurred as a result of acting upon, nor will they be held responsible for the authenticity of, any telephone instructions containing unauthorized, incorrect or incomplete information. Broker-Dealer agrees to indemnify and hold harmless PEPCO and the Insurer against any loss, injury or damage resulting from any telephone exchange instruction containing unauthorized, incorrect or incomplete information received from Broker-Dealer or any of its registered representatives. (Telephone instructions are recorded on tape.)

  • Selling Broker Dealer -- A person registered as a broker-dealer and licensed as a life insurance agent or affiliated with a person so licensed, and authorized to distribute the Contracts pursuant to a sales agreement as provided for in Section 4 of this Agreement.

  • No Brokerage The Purchaser has not incurred any obligation or liability, contingent or otherwise, for brokerage fees, finder's fees, agent's commissions, or the like in connection with this Agreement or the transactions contemplated hereby.

  • No Brokers The Company has taken no action which would give rise to any claim by any person for brokerage commissions, transaction fees or similar payments relating to this Agreement or the transactions contemplated hereby.

  • Finders; Brokers None of the Seller Parties has employed any finder or broker in connection with the Purchase who would have a valid claim for a fee or commission from Purchaser in connection with the negotiation, execution or delivery of this Agreement or any of the other Transaction Documents or the consummation of any of the transactions contemplated hereby or thereby.

  • Liability for Brokers’ Fees Buyer has not incurred any liability, contingent or otherwise, for brokers’ or finders’ fees relating to the transactions contemplated by this Agreement for which Seller shall have any responsibility whatsoever.

  • Finders or Brokers Neither Parent nor any of its Subsidiaries has employed any investment banker, broker or finder in connection with the transactions contemplated by this Agreement who might be entitled to any fee or any commission in connection with or upon consummation of the Merger.

  • No Brokerage Fees There are no claims for brokerage commission, finders’ fees or similar compensation in connection with the transactions contemplated by this Subscription Agreement or related documents based on any arrangement or agreement binding upon Subscriber.

  • INTRODUCING BROKERS In the situation where you have been introduced to us by an introducing broker, you consent to us exchanging information with that introducing broker for the purposes of this clause 28. You may withdraw your consent by advising us accordingly in writing.

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