SUBSCRIPTION AGREEMENT SIGNATURE PAGE Sample Clauses

SUBSCRIPTION AGREEMENT SIGNATURE PAGE. The undersigned (the “Subscriber”) hereby irrevocably subscribes for that number of Shares set forth below, upon and subject to the terms and conditions set forth in the Corporation’s Effective Final Prospectus filed on Form S-1 and dated on or around _______ __, 2018. Total Number of Shares to be Acquired: _____________________________ Amount to be Paid (price of $0.04 per Share): _____________________________
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SUBSCRIPTION AGREEMENT SIGNATURE PAGE. Executed this __________ day of ________________, , at _________________________ (City), ______________________ (State). The undersigned hereby subscribes for __________________ Common Shares at $________ per Share. The undersigned encloses cash payment in the full amount of the Subscription. All checks should be made payable to: GeoPetro Resources Company. TYPE OF OWNERSHIP (Check one)
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SUBSCRIPTION AGREEMENT SIGNATURE PAGE. The undersigned, desiring to purchase shares of common stock of Innovative Climatic Technologies Corp., by executing this signature page, hereby executes, adopts and agrees to all terms, conditions and representations of the Subscription Agreement.
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SUBSCRIPTION AGREEMENT SIGNATURE PAGE. FOR INDIVIDUALS IN WITNESS WHEREOF, the undersigned executed this Agreement this day of , 2009. No. of Units Purchased: Print Name Signature of Investor Social Security Number Residence Address If the purchaser has indicated that the Shares will be held as JOINT TENANTS, as TENANTS IN COMMON, or as COMMUNITY PROPERTY, please complete the following: Print Name of Spouse or Other Purchaser Signature of Spouse or Other Purchaser Social Security Number ACCEPTED AND AGREED: ARROWHEAD RESEARCH CORPORATION By: Name: Title: Dated: , 2009 SUBSCRIPTION AGREEMENT SIGNATURE PAGE FOR PARTNERSHIPS, CORPORATIONS, TRUSTS, OR OTHER ENTITIES IN WITNESS WHEREOF, the undersigned has executed this Agreement this day of , 2009.
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SUBSCRIPTION AGREEMENT SIGNATURE PAGE. (a) The number of shares of Common Stock the undersigned hereby irrevocably subscribes for is: shares
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SUBSCRIPTION AGREEMENT SIGNATURE PAGE. The undersigned, desiring to purchase units of Class B Non-Voting Common Units of Ternio, LLC, by executing this signature page, hereby executes, adopts and agrees to all terms, conditions and representations of the Subscription Agreement.
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Related to SUBSCRIPTION AGREEMENT SIGNATURE PAGE

  • SIGNATURE PAGE TO SUBSCRIPTION AGREEMENT Please acknowledge your acceptance of the foregoing Subscription Agreement by signing and returning a copy to the undersigned together with the completed Investor Questionnaire, whereupon this Agreement shall become a binding agreement between us. Your signature below also constitutes your signature to the Investor Questionnaire you have delivered to the Company as of the date indicated below. COMPANY: CHROMADEX CORPORATION a Delaware corporation By: /s/ Xxxxx X. Xxxxxx Name: Xxxxx X. Xxxxxx, Xx. Title: President and Chief Executive Officer Dated: April 22, 2010 SUBSCRIBER: Name: Xxxxxxxxxx Xxxxxx Revocable Trust As Amended and Restated 12/16/2003 By: /s/ Print Name: Title: (if Applicable) [Authorized Person] Dated (including date of Investor Questionnaire): April 22, 2010 Subscriber Address for Notices: Facsimile: Subscriber’s Social Security Number or Tax Identification Number (as applicable): Purchase Price: $49,999.88 Common Shares to be purchased: 357,142 Number of Warrant Shares to be represented by Warrant: 357,142

  • Omnibus Signature Page This Agreement is intended to be read and construed in conjunction with the Registration Rights Agreement. Accordingly, pursuant to the terms and conditions of this Agreement and the Registration Rights Agreement, it is hereby agreed that the execution by the Purchaser of this Agreement, in the place set forth on the Omnibus Signature Page below, shall constitute agreement to be bound by the terms and conditions hereof and the terms and conditions of the Registration Rights Agreement, with the same effect as if each of such separate but related agreement were separately signed.

  • Subscription Agreement The Dealer Manager will comply in all material respects with the subscription procedures and “Plan of Distribution” set forth in the Prospectus. Subscriptions will be submitted by the Dealer Manager and each Soliciting Dealer to the Company only on the form which is included as Exhibit B to the Prospectus. The Dealer Manager understands and acknowledges, and each Soliciting Dealer shall acknowledge, that the Subscription Agreement must be executed and initialed by the subscriber as provided for by the Subscription Agreement.

  • Subscription Agreements The Company shall have entered into the Subscription Agreements with each of the Investors, and such agreements shall be in full force and effect on the Closing Date.

  • SIGNATURE PAGE This Account Pledge Agreement has been entered into on the date stated at the beginning by Closure Systems International Holdings (Germany) GmbH as Pledgor By: /s/ Xxxx Xxxxxxx Name: Xxxx Xxxxxxx Title: Authorised Signatory The Bank of New York Mellon as Collateral Agent and Pledgee By: /s/ Xxxxxxxxx X. Xxxxxxx Name: Xxxxxxxxx X. Xxxxxxx Title: Vice President SCHEDULE 1

  • Vendor Agreement Signature Form (Part 1)

  • Signature Pages For convenience, the signatures of the Parties to this Agreement may be executed and acknowledged on separate pages in counterparts which, when attached to this Agreement, shall constitute this as one complete Agreement.

  • Amendment to Purchase Agreement The Purchase Agreement is hereby amended as follows:

  • The Purchase Agreement This Agreement has been duly authorized, executed and delivered by the Company and the Guarantors.

  • ASSIGNMENT AND TRANSFER SIGNATURE LINES FOR VALUE RECEIVED, the undersigned Holder hereby sell(s), assign(s) and transfer(s) unto ______________________________ whose taxpayer identification number is _______________________ and whose address including postal zip code is ____________________________, the within Receipt and all rights thereunder, hereby irrevocably constituting and appointing ________________________ attorney-in-fact to transfer said Receipt on the books of the Depositary with full power of substitution in the premises.

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