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: Olyrca Limited Partnership 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: $9,999.92 Common Shares to be purchased: 71,428 Number of Warrant Shares to be represented by Warrant: 71,428
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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. CLEAR-LITE HOLDINGS, INC. a Nevada corporation By:_________________________________ Name: Title: Dated: November ___, 2009 SUBSCRIBER PURCHASE PRICE NOTE PRINCIPAL ___________________________________________ By: Title: $ $
SIGNATURE PAGE TO SUBSCRIPTION AGREEMENT. Please acknowledge your acceptance of the foregoing Subscription Agreement with Farm Lands of Guinea, Inc. by signing and returning a copy to the Company whereupon it shall become a binding agreement. NUMBER OF UNITS x 20.00 = (the “Issue 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 City, State and Zip Code ___________________________________ _____________________________________ 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: __________, 2011 This Subscription Agreement is agreed to and accepted as of ______________, 2011. FARM LANDS OF GUINEA, INC. By:_____________________________ Name: Title: This Subscription Agreement is agreed to and accepted as of ____________, 2011. Solely with respect to Section 4.1, (Representations by Farm Lands of Guinea Limited), FARM LANDS OF GUINEA, 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. FXXXXXXX XXXXXX ENTERPRISES INC. a Nevada corporation By: /s/ Kxxxx Fan Name: Kxxxx Fan Title: Chief Executive Officer Dated: September 12, 2007 SUBSCRIBER PURCHASE PRICE AND NOTE PRINCIPAL Name of Subscriber: Vision Opportunity Master Fund, Ltd.______________________ Address: 20 Xxxx 00xx Xxxxxx, Xxxxx Xxxxx_________________ Xxx Xxxx, XX 10019_______________________________________ Fax No.: _________________________________________________ Taxpayer ID# (if applicable): __________________________________ _________________________________________________________ (Signature) By: $500,000 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. FXXXXXXX XXXXXX ENTERPRISES INC. a Nevada corporation By: /s/ Kxxxx Fan Name: Kxxxx Fan Title: Chief Executive Officer Dated: September 12, 2007 SUBSCRIBER PURCHASE PRICE AND NOTE PRINCIPAL Name of Subscriber: Bursteine & Lindsay Security Corp.________________________ Address: 100 Xxxxxxxxxxxxx Xxx. XX 8003____________________ Zurich, Switzerland_____________________________________ Fax No.: ______________ __________________________________ Taxpayer ID# (if applicable): __________________________________ _________________________________________________________ (Signature) By: $100,000
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. 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
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: $ 50,000 25,000 6,250 BRIO CAPITAL SELECT LLC Address: 000 X 00XX XXXXXX, XXXXX XXXXX 00X, XXX XXXX, 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/ Xxxxx Xxxxxx (Signature) By: Xxxxx Xxxxxx Name: Title: Managing Member
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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. KAIRE HOLDINGS INCORPORATED A Delaware Corporation By:_________________________________ Name: Title: Dated as of November 30, 2003 SUBSCRIBER PURCHASE PRICE WARRANTS ISSUABLE ON CLOSING DATE _________________________________ (Signature) ALPHA CAPITAL AKTIENGESELLSCHAFT Pxxxxxxxx 0 0000 Xxxxxxxxxxx Xxxxx, Xxxxxxxxxxxx Fax: 000-00-00000000 $100,000.00 400,000 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. KAIRE HOLDINGS INCORPORATED A Delaware Corporation By:_________________________________ Name: Title: Dated as of November 30, 2003 SUBSCRIBER PURCHASE PRICE WARRANTS ISSUABLE ON CLOSING DATE _________________________________ (Signature) GAMMA OPPORTUNITY CAPITAL PARTNERS, LP British Colonial Centre of Commerce One Bay Street, Suite 401 Nassau (NP), The Bahamas Fax: (000) 000-0000 $100,000.00 400,000
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. CONOLOG CORPORATION a Delaware corporation By: Name: Xxxx Xxxxx Title: President Address: 0 Xxxxxxxx Xxxx Xxxxxxxxxx, Xxx Xxxxxx 00000 Facsimile No.: Dated: _____________, 2012 SUBSCRIBER Name of Subscriber: Address: Fax No.: Taxpayer ID# (if applicable):
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. VIRYANET LTD. a State of Israel corporation By: Name: Xxxx X. Xxxxxx Title: President & CEO Dated: September , 2005 SUBSCRIBER NOTE PRINCIPAL INITIAL SHARES WARRANTS ALPHA CAPITAL AKTIENGESELLSCHAFT Pradafant 7 9490 Furstentums Vaduz, Lichtenstein Fax: 000-00-00000000 $ 200,000.00 95,238 65,079 (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. VIRYANET LTD. a State of Israel corporation By: Name: Xxxx X. Xxxxxx Title: President & CEO Dated: September , 2005 SUBSCRIBER NOTE PRINCIPAL INITIAL SHARES WARRANTS XXXXX INTERNATIONAL LTD. 53rd Street Urbanizacion Obarrio Swiss Tower, 16th Floor, Panama Republic of Panama Fax: (000) 000-0000 $ 125,000.00 59,524 40,675 (Signature) By: 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. VIRYANET LTD. a State of Israel corporation By: Name: Xxxx X. Xxxxxx Title: President & CEO Dated: September , 2005 SUBSCRIBER NOTE PRINCIPAL INITIAL SHARES WARRANTS GLOBIS CAPITAL PARTNERS LP 00 Xxxxx Xxxxxx, 00xx Xxxxx Xxx Xxxx, XX 00000 Fax: (000) 000-0000 $ 75,000.00 35,714 24,405 (Signature) By: 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. VIRYANET LTD. a State of Israel corporation By: Name: Xxxx X. Xxxxxx Title: President & CEO Dated: September , 2005 SUBSCRIBER NOTE PRINCIPAL INITIAL SHARES WARRANTS OMEGA CAPITAL SMALLCAP FUND, LTD. 0000 00xx Xxxxxx, Xxxxx 000 Xxxxxxxx, Xxx Xxxx 00000 Fax: (000) 000-0000 $ 50,000.00 23,810 16,270 (Signature) By: SIGNATURE PAGE TO SUBSCRIPTION AGREEMENT (E) 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. VIRYANET LTD. a State of Israel corporation By: Name: Xxxx X. Xxxxxx Title: President & CEO Dated: September , 2005 SUBSCRIBER NO...
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