Common use of SIGNATURE PAGE TO SUBSCRIPTION AGREEMENT Clause in Contracts

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:

Appears in 1 contract

Samples: Subscription Agreement (Farm Lands of Guinea, Inc.)

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SIGNATURE PAGE TO SUBSCRIPTION AGREEMENT. Please acknowledge your acceptance of the foregoing Subscription Agreement with Farm Lands of Guinea, Inc. AIVtech International Group Co. by signing and returning a copy to the Company whereupon it shall become a binding agreement. NUMBER OF UNITS SHARES x 20.00 $______ = (the “Issue 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 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: __________December 29, 2011 2010 This Subscription Agreement is agreed to and accepted as of ______________December 29, 20112010. FARM LANDS OF GUINEA, INCAIVTECH INTERNATIONAL GROUP CO. By:____: /s/ Jinlin Guo_________________________ Name: Xxxxxx Xxx Title: This Subscription Agreement is agreed to and accepted as Chief Executive Officer LIST OF EXHIBITS Exhibit A Form of ____________, 2011. Solely with respect to Section 4.1, (Representations by Farm Lands Warrant Exhibit B Form of Guinea Limited), FARM LANDS OF GUINEA, INC. By:_____________________________ Name: Title:Legal Opinion Exhibit C Selling Securityholder Questionnaire

Appears in 1 contract

Samples: Subscription Agreement (Aivtech International Group Co.)

SIGNATURE PAGE TO SUBSCRIPTION AGREEMENT. Please acknowledge your acceptance of the foregoing Subscription Agreement with Farm Lands of GuineaFamous Uncle Al’s Hot Dogs & Grille, Inc. by signing and returning a copy to the Company whereupon it shall become a binding agreement. NUMBER OF UNITS SHARES _______________ x 20.00 $2.65 = _______________ (the “Issue 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 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: __________October 18, 2011 2010 This Subscription Agreement is agreed to and accepted as of ______________October 18, 20112010. FARM LANDS OF GUINEAFAMOUS UNCLE AL’S HOT DOGS & GRILLE, 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:

Appears in 1 contract

Samples: Subscription Agreement (Famous Uncle Als Hot Dogs & Grille Inc)

SIGNATURE PAGE TO SUBSCRIPTION AGREEMENT. Please acknowledge your acceptance of the foregoing Subscription Agreement with Farm Lands of GuineaGreat East Energy, Inc. by signing and returning a copy to the Company whereupon it shall become a binding agreement. NUMBER OF UNITS SHARES x 20.00 $1.00 = (the “Issue 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 Code/Country City, State and Zip Code 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: __________, 2011 This Subscription Agreement is agreed to and accepted as of ______________, 2011. FARM LANDS OF GUINEA, INC. By:_____________________________ NameDated: Title: ____________________, 2013 This Subscription Agreement is agreed to and accepted as of ____________, 20112014. Solely with respect to Section 4.1, (Representations by Farm Lands of Guinea Limited), FARM LANDS OF GUINEAGREAT EAST ENERGY, INC. By:_____________________________ : Name: Xxxxxxx Xxxxx Title:: Chief Executive Officer

Appears in 1 contract

Samples: Subscription Agreement (Great East Energy, Inc.)

SIGNATURE PAGE TO SUBSCRIPTION AGREEMENT. Please acknowledge your acceptance of the foregoing Subscription Agreement with Farm Lands of GuineaCiglarette, 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 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 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 ______________, 2011the date first written above. FARM LANDS OF GUINEACIGLARETTE, INC. By:_____________________________ : /s/ Name: Longlin Hu 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:Chief Executive Officer

Appears in 1 contract

Samples: Subscription Agreement (Ciglarette, Inc.)

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SIGNATURE PAGE TO SUBSCRIPTION AGREEMENT. Please acknowledge your acceptance of the foregoing Subscription Agreement with Farm Lands of GuineaNEXT GRAPHITE, Inc. INC. by signing and returning a copy to the Company whereupon it shall become a binding agreement. NUMBER OF UNITS SHARES x 20.00 $1.00 = (the “Issue 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 Code/Country City, State and Zip Code 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: ____________________, 2011 2014 This Subscription Agreement is agreed to and accepted as of ______________, 20112014. FARM LANDS OF GUINEANEXT GRAPHITE, 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:

Appears in 1 contract

Samples: Subscription Agreement (Next Graphite, Inc.)

SIGNATURE PAGE TO SUBSCRIPTION AGREEMENT. Please acknowledge your acceptance of the foregoing Subscription Agreement with Farm Lands of Guinea, Inc. TK Star Design Inc by signing and returning a copy to the Company whereupon it shall become a binding agreement. NUMBER OF UNITS SHARES x 20.00 $ 1,00_ = (the “Issue 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 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: DatedDate: __________July 20, 2011 This Subscription Agreement is agreed to and accepted as of ______________July 20, 2011. FARM LANDS OF GUINEA, INC. By:_____________________________ : /s/Xxxxxx Xxxx Name: Xxxxxx Xxxx Title: This Subscription Chief Executive Officer LIST OF EXHIBITS AND SCHEDULES Exhibit A Escrow Agreement is agreed to Exhibit B Communication Services Agreement Exhibit C Form of Lockup Agreement Exhibit D Form of Legal Opinion Exhibit E Intentionally Omitted Exhibit F Series A Warrant Exhibit G Series B Warrant Exhibit H Series C Warrant Exhibit I Series D Warrant Exhibit J Registration Rights Agreement Schedules Schedule 4(a): Subsidiaries and accepted as Affiliated Entities of ____________Company Wholly Owned Subsidiary: Phoenix International (China) Limited, 2011. Solely with respect to Section 4.1, a company organized under the laws of Hong Kong and a wholly-owned subsidiary of PUBCO (Representations by Farm Lands of Guinea Limited“Phoenix International”), FARM LANDS OF GUINEA, INC. By:_____________________________ Name: Title:;

Appears in 1 contract

Samples: Subscription Agreement (TK Star Design, Inc.)

SIGNATURE PAGE TO SUBSCRIPTION AGREEMENT. Please acknowledge your acceptance of the foregoing Subscription Agreement with Farm Lands of GuineaNEXT GRAPHITE, Inc. INC. by signing and returning a copy to the Company whereupon it shall become a binding agreement. NUMBER OF UNITS SHARES ___________ x 20.00 $1.00 = ___________ (the “Issue 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 Code/Country City, State and Zip Code 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: __________, 2011 This Subscription Agreement is agreed to and accepted as of ______________, 2011. FARM LANDS OF GUINEA, INC. By:_____________________________ NameDated: 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:_____________________________ , 2014 This Subscription Agreement is agreed to and accepted as of April 29, 2014. NEXT GRAPHITE, INC. By: Name: Title:

Appears in 1 contract

Samples: Subscription Agreement (Next Graphite, Inc.)

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