SIGNATURE PAGE TO SUBSCRIPTION AGREEMENT Sample Clauses

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
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SIGNATURE PAGE TO SUBSCRIPTION AGREEMENT. Please acknowledge your acceptance of the foregoing Subscription Agreement with NEXT GRAPHITE, INC. by signing and returning a copy to the Company whereupon it shall become a binding agreement. NUMBER OF SHARES ___________ x $1.00 = ___________ (the “Purchase Price”) ___________________________________ _____________________________________ Signature Signature (if purchasing jointly) ___________________________________ _____________________________________ Name Typed or Printed Name Typed or Printed ___________________________________ _____________________________________ Entity Name Entity Name ___________________________________ _____________________________________ Address Address ___________________________________ _____________________________________ City, State and Zip Code/Country City, State and Zip Code/Country ___________________________________ _____________________________________ Telephone - Business Telephone – Business ___________________________________ _____________________________________ Telephone – Residence Telephone – Residence ___________________________________ _____________________________________ Facsimile – Business Facsimile – Business ___________________________________ _____________________________________ Facsimile – Residence Facsimile – Residence ___________________________________ _____________________________________ Tax ID # or Social Security # Tax ID # or Social Security # Name in which securities should be issued: _________________________ Dated: ____________________, 2014 This Subscription Agreement is agreed to and accepted as of April 29, 2014. NEXT GRAPHITE, INC. By: Name: Title:
SIGNATURE PAGE TO SUBSCRIPTION AGREEMENT. Please acknowledge your acceptance of the foregoing Subscription Agreement by signing and returning a copy to the undersigned whereupon it shall become a binding agreement between us. CLEAR-LITE HOLDINGS, INC. a Nevada corporation By:_________________________________ Name: Title: Dated: August ___, 2009 SUBSCRIBER PURCHASE PRICE NOTE PRINCIPAL ___________________________________________ By: Title: $ $
SIGNATURE PAGE TO SUBSCRIPTION AGREEMENT. Please acknowledge your acceptance of the foregoing Subscription Agreement by signing and returning a copy to the undersigned whereupon it shall become a binding agreement between us. WIZARD WORLD INC. a Delaware corporation By: Name: Title: Dated: __________ ___, 2011 SUBSCRIBER NOTE PRINCIPAL WARRANTS Name of Subscriber: Address: Fax No.: Taxpayer ID# (if applicable): or Social Security # (Signature) By:
SIGNATURE PAGE TO SUBSCRIPTION AGREEMENT. (A) Please acknowledge your acceptance of the foregoing Subscription Agreement by signing and returning a copy to the undersigned whereupon it shall become a binding agreement between us. INNOVATIVE FOOD HOLDINGS, INC. a Florida corporation By: Name: Xxxxxxxx Xxxxxxxx Title: President Dated: August _____, 2005 SUBSCRIBER PURCHASE PRICE XXXXX BRAND 00 Xxxxxxx Xxxx Monsey, New York 10952 Fax: (000) 000-0000 ______________________________________________ (Signature) $25,000.00 SIGNATURE PAGE TO SUBSCRIPTION AGREEMENT (B) Please acknowledge your acceptance of the foregoing Subscription Agreement by signing and returning a copy to the undersigned whereupon it shall become a binding agreement between us. INNOVATIVE FOOD HOLDINGS, INC. a Florida corporation Date: By: Name: Xxxxxxxx Xxxxxxxx Title: President Dated: August _____, 2005 SUBSCRIBER PURCHASE PRICE MOMONA CAPITAL 0 Xxxxxx Xxxx Monsey, New York 10952 Fax: (000) 000-0000 ______________________________________________ (Signature) $25,000.00 SIGNATURE PAGE TO SUBSCRIPTION AGREEMENT (C) Please acknowledge your acceptance of the foregoing Subscription Agreement by signing and returning a copy to the undersigned whereupon it shall become a binding agreement between us. INNOVATIVE FOOD HOLDINGS, INC. a Florida corporation Date: By: Name: Xxxxxxxx Xxxxxxxx Title: President Dated: August _____, 2005 SUBSCRIBER PURCHASE PRICE LANE VENTURES, INC. 000 Xxxx Xxxxxx Xxxxxxxx, Xxx Xxxx 00000 Fax: (000) 000-0000 ______________________________________________ (Signature) By: $10,000.00
SIGNATURE PAGE TO SUBSCRIPTION AGREEMENT. (A) Please acknowledge your acceptance of the foregoing Subscription Agreement by signing and returning a copy to the undersigned whereupon it shall become a binding agreement between us. NEW GENERATION BIOFUELS HOLDINGS, INC. a Florida corporation By: Name: Title: Dated: January ___, 2011 SUBSCRIBER PURCHASE PRICE AND PRINCIPAL AMOUNT CLASS A WARRANTS CLASS B WARRANTS ALPHA CAPITAL ANSTALT Pradafant 7 9490 Furstentums Vaduz, Lichtenstein Fax No.: 000-00-00000000 Taxpayer ID# (if applicable): __________________ __________________________________________ (Signature) By: SIGNATURE PAGE TO SUBSCRIPTION AGREEMENT (B) Please acknowledge your acceptance of the foregoing Subscription Agreement by signing and returning a copy to the undersigned whereupon it shall become a binding agreement between us. NEW GENERATION BIOFUELS HOLDINGS, INC. a Florida corporation By: Name: Title: Dated: January ___, 2011 SUBSCRIBER PURCHASE PRICE AND PRINCIPAL AMOUNT CLASS A WARRANTS CLASS B WARRANTS Name of Subscriber: ______________________________________ Address: _______________________________ ______________________________________ Fax No.: _______________________________ Taxpayer ID# (if applicable): ________________ ______________________________________ (Signature) By:
SIGNATURE PAGE TO SUBSCRIPTION AGREEMENT. Please acknowledge your acceptance of the foregoing Subscription Agreement by signing and returning a copy to the undersigned whereupon it shall become a binding agreement between us. CHINA BROADBAND, INC. a Nevada corporation By: /s/ Clive Ng_________________ Name: Cxxxx Xx Title: Chairman Dated: January 11, 2008 SUBSCRIBER PURCHASE PRICE AND PRINCIPAL AMOUNT OF NOTE CLASS A WARRANTS GLOBIS OVERSEAS FUND, LTD. 60 Xxxxx Xxxxxx, 00xx Xxxxx Xxx Xxxx, XX 00000 Fax No.: _______________________________________ Email address (not for notice purposes): ______________________________________________ Social Security Number or Taxpayer ID# (if applicable): ______________________________________________ Jurisdiction of organization (for entities): ______________________________________________ ______________________________________________ (Signature) By: ___________________________________________ Name: _________________________________________ Title: __________________________________________ $100,000.00 133,333
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SIGNATURE PAGE TO SUBSCRIPTION AGREEMENT. Please acknowledge your acceptance of the foregoing Subscription Agreement by signing and returning a copy to the undersigned whereupon it shall become a binding agreement between us. COMMONWEALTH BIOTECHNOLOGIES INC. a Virginia corporation By: /s/ Xxxx X’Xxxxx Name: Xxxx X’Xxxxx, Ph.D. Title: CEO Dated: December 31, 2007 SUBSCRIBER AGGREGATE PURCHASE PRICE & PRINCIPAL AMOUNT OF NOTE CLASS A WARRANTS CLASS B WARRANTS Name of Subscriber: $ 400,000 200,000 50,000 CENTURION MICROCAP, LP Address: 0000 XXXXXX X, XXXXXXXX, XX 00000 Fax No.: 000-000-0000 Email address (not for notices): Social Security Number or Taxpayer ID# (if applicable): Jurisdiction of organization (for entities): /s/ Xxxxxxx Xxxxxxx (Signature) By: Name: Xxxxxxx Xxxxxxx Title: General Partner
SIGNATURE PAGE TO SUBSCRIPTION AGREEMENT. (C) Please acknowledge your acceptance of the foregoing Subscription Agreement by signing and returning a copy to the undersigned whereupon it shall become a binding agreement between us. VOIP, INC. a Texas corporation By: /s/ Xxxxxx Xxxxxx Name: Xxxxxx Xxxxxx Title: Chief Accounting Officer Dated: October 17, 2006 SUBSCRIBER AGGREGATE PURCHASE PRICE - INITIAL CLOSING AGGREGATE PRINCIPAL AMOUNT - INITIAL CLOSING AGGREGATE PURCHASE PRICE - SECOND CLOSING AGGREGATE PRINCIPAL AMOUNT - SECOND CLOSING PRO-RATA PORTION XXXXX INTERNATIONAL LTD. 53rd Street Urbanizacion Obarrio Swiss Tower, 16th Floor, Panama Republic of Panama Fax: (000) 000-0000 /s/ Xxxxxxx Xxxxx (Signature) By: Xxxxxxx Xxxxx $242,000.00 $302,500.00 $242,000.00 $302,500.00 SIGNATURE PAGE TO SUBSCRIPTION AGREEMENT (D) Please acknowledge your acceptance of the foregoing Subscription Agreement by signing and returning a copy to the undersigned whereupon it shall become a binding agreement between us. VOIP, INC. a Texas corporation By: /s/ Xxxxxx Xxxxxx Name: Xxxxxx Xxxxxx Title: Chief Accounting Officer Dated: October 17, 2006 SUBSCRIBER AGGREGATE PURCHASE PRICE - INITIAL CLOSING AGGREGATE PRINCIPAL AMOUNT - INITIAL CLOSING AGGREGATE PURCHASE PRICE - SECOND CLOSING AGGREGATE PRINCIPAL AMOUNT - SECOND CLOSING PRO-RATA PORTION PLATINUM LONG TERM GROWTH II INC. 000 Xxxx 00xx Xxxxxx Xxx Xxxx, Xxx Xxxx 00000 Attn: Xxxx Xxxxxxxxx Fax: (212) /s/ Xxxx Xxxxxxxxx (Signature) By: Xxxx Xxxxxxxxx $140,000.00 $175,000.00 $140,000.00 $175,000.00
SIGNATURE PAGE TO SUBSCRIPTION AGREEMENT. Please acknowledge your acceptance of the foregoing Subscription Agreement by signing and returning a copy to the undersigned whereupon it shall become a binding agreement between us. CAMBRIDGE HEART, INC. a Delaware corporation By: /s/ Xxx Xxxxxxxx-Mood Name: Xxx Xxxxxxxx-Mood Title: President and CEO Dated: May 23, 2012 SUBSCRIBER PRINCIPAL AMOUNT WARRANTS Name of Subscriber: Address: Fax No.: E-mail address: Taxpayer ID# (if applicable): or Social Security # Percentage permitted beneficial ownership amount under Section 7.3 hereof, Section 2.3 of the Note issuable to Subscriber hereunder, and Section 9 of the Warrant issuable to the Subscriber hereunder (if other than 4.99%) (Signature) By:
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