Subscriber Signature definition

Subscriber Signature. The undersigned has the authority to enter into this subscription agreement on behalf of the person(s) or entity registered above.
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Subscriber Signature. (the undersigned has the authority to enter into this subscription agreement on behalf of the person(s) or entity registered above. I (We) certify under penalty of perjury that this is my (our) correct Social Security Number (and/or Tax Identification Number) and that interest income on this account should be reported on this number. I acknowledge and agree to this statement on the reverse side hereof.
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Examples of Subscriber Signature in a sentence

  • ITQ Signature Subscriber Signature Confidential Treatment Requested The portions of this document marked by XXXX have been omitted pursuant to a request for confidential treatment under Rule 24b-2 under the Securities and Exchange Act of 1934, as amended, and have been filed separately with the Securities and Exchange Commission.

  • Signature of Subscriber: Signature of Joint Subscriber, if applicable: By: By: Name: Name: Title: Title: Date: Name of Subscriber: Name of Joint Subscriber, if applicable: (Please print.

  • Signature of Subscriber: Signature of Joint Subscriber, if applicable: By: By: Name: Name: Title: Title: Name of Subscriber: Name of Joint Subscriber, if applicable: (Please print.

  • Prospective Subscribers should complete all applicable parts (including the Subscriber Signature Page) and provide additional documentation where indicated.

  • Date: _____________ Date: _____________ Signature of Subscriber Signature of Co-Subscriber Name of Subscriber [Please Print] Name of Co-Subscriber [Please Print] Address of Subscriber Address of Co-Subscriber SSN or Tax ID of Subscriber State of incorporation/corporate domicile (if different than the address listed above): _________________________.

  • INDIVIDUAL SUBSCRIBER/IRA:* INSTITUTIONAL SUBSCRIBER: Name of Individual Subscriber Name of Institutional Subscriber Signature: By: Print Name: Print Name: Date: Title: Date: *If IRA, the Subscriber must be identified as: (name of the IRA Custodian) for the benefit of (the name of the individual) and must also be acknowledged by custodian or trustee below.

  • SUBSCRIBER** Date: _____________ CO-SUBSCRIBER** Date: _____________ Signature of Subscriber Signature of Co-Subscriber Name of Subscriber [Please Print] Name of Co-Subscriber [Please Print] Address of Subscriber Address of Co-Subscriber SSN or Tax ID of Subscriber State of incorporation/corporate domicile (if different than the address listed above): _________________________.

  • Subscriber Signature Subscriber Signature Name of Subscriber Name of Subscriber DATE: , 20 DATE: , 20 PERSON(S) AUTHORIZED TO PROVIDE INSTRUCTIONS AND SIGNATURE: (Second Person if necessary) Name (last, first) Name (last, first) Title Title Phone number Phone number E-Mail E-Mail X Signature X Signature DATE: , 20 DATE: , 20 This section must be completed since the Subscriber is purchasing the Shares through the Dealer and is investing in the Corporation on the advice of the Dealer.

  • Subscriber Signature Date Subscriber Printed Name All the information that I consider necessary and appropriate for deciding whether to purchase the interest hereunder has been provided to me, and, I have had an opportunity to ask questions and receive answers from the Company to verify the accuracy of the information supplied or to which I had access.

  • The Subscriber irrevocably subscribes for and agrees to purchase Shares for the aggregate purchase price set forth below to the Subscriber’s signature on the Subscriber Signature Page to the Investor Questionnaire (which amount is hereby incorporated by reference into this Subscription Agreement), payable under the terms and subject to the conditions set forth herein.