Common use of SUBSCRIPTION FORM Clause in Contracts

SUBSCRIPTION FORM. (To be Executed by the Optionee to Exercise the Rights to Purchase Stock evidenced by the foregoing Option) TO: MODAVOX, INC. The undersigned hereby exercises the right to purchase _______ shares of Common Stock covered by the attached Option in accordance with the terms and conditions thereof, and herewith makes payment of this Option Price of such shares in full. The undersigned represents and Options to you that the undersigned is acquiring such shares for the undersigned's own account with the intent of holding such shares for investment and without the intent of participating directly or indirectly in a distribution of such shares. _________________________________ By: _____________________________ Signature _________________________________ _________________________________ Address Dated: _________________.

Appears in 4 contracts

Samples: Nonqualified Stock Option Agreement (Modavox Inc), Nonqualified Stock Option Agreement (Modavox Inc), Nonqualified Stock Option Agreement (Modavox Inc)

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SUBSCRIPTION FORM. (To be Executed by the Optionee Registered Holder to Exercise the Rights to Purchase Stock evidenced by the foregoing OptionWarrant) TO: MODAVOX, INC. INNERSPACE CORPORATION The undersigned hereby exercises the right to purchase _______ shares of Common Stock covered by the attached Option Warrant in accordance with the terms and conditions thereof, and herewith makes payment of this Option the Warrant Price of such shares in full. The undersigned represents and Options warrants to you that the undersigned is acquiring such shares for the undersigned's own account with the intent of holding such shares for investment and without the intent of participating directly or indirectly in a distribution of such shares. _________________________________ By: _____________________________ Signature _________________________________ _________________________________ Address Dated: _________________.

Appears in 1 contract

Samples: Common Stock Purchase Warrant (Innerspace Corp)

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SUBSCRIPTION FORM. (To be Executed by the Optionee to Exercise the Rights to Purchase Stock evidenced by the foregoing Option) TO: MODAVOX, INC. The undersigned hereby exercises the right to purchase _______ shares of Common Stock covered by the attached Option in accordance with the terms and conditions thereof, and herewith makes payment of this Option Price of such shares in full. The undersigned represents and Options to you that the undersigned is acquiring such shares for the undersigned's own account with the intent of holding such shares for investment and without the intent of participating directly or indirectly in a distribution of such shares. _________________________________ By: _____________________________ Signature _________________________________ _________________________________ Address Dated: _________________.

Appears in 1 contract

Samples: Nonqualified Stock Option Agreement (Modavox Inc)

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