SUBSCRIPTION AND SIGNATURE Sample Clauses

SUBSCRIPTION AND SIGNATURE. I hereby irrevocably subscribe for the number of shares of the Company’s Common Stock as indicated below, on the terms specified in the related Prospectus. a. Basic Subscription (up to two times the number of shares you owned on the Record Date) Shares b. Over-Subscription: Shares c. Total Subscription (a + b): Shares d. Total Cost (c x $0.03 rounded up to whole cents): $ Signature of Shareholder: Telephone Number: ( )
Sample 1
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SUBSCRIPTION AND SIGNATURE. Basic Subscription Rights. Enter the number of shares you intend to purchase under your Basic Subscription Rights. The maximum number of shares you may purchase on Basic Subscription appears on the front of the Subscription Agreement or can be calculated by multiplying the number of shares of common stock owned of record on the Record Date by _________ [and rounding up to the nearest whole number]. There is a minimum purchase requirement of 1,000 shares. Therefore, if your Basic Subscription is for less than 1,000 shares, you may still participate by exercising all of your Basic Subscription as well as sufficient amount of your Over-Subscription Rights to subscribe for at least the minimum 1,000 shares. Please note however that a sufficient number of shares may not be available to satisfy your Over-Subscription exercise or due to an Over-Subscription of the offering we may be forced to proportionately reduce all Over-Subscription exercises.
Sample 1
SUBSCRIPTION AND SIGNATURE. This BUSINESS ASSOCIATE AGREEMENT (the “Agreement”) is made and entered into as of the “Effective Date” identified below, by and between (i) the American Board of Family Medicine, Inc. (“ABFM”), a Missouri corporation located at 0000 XxXxxxxxxxx Xxxxxxx, Xxxxx 000, Xxxxxxxxx, Xxxxxxxx 00000, (ii) the individual and organization registering for the on-line “Registry” (identified below) maintained by the ABFM (“Participant”) and (iii) each individual physician (“Physician”) for whom the Participant is registering as part of the Participant’s participation in the Registry. The ABFM is referred to as the “Business Associate.” Participant and Physician are collectively referred to as the
Sample 1

Related to SUBSCRIPTION AND SIGNATURE

  • Authorized Signature Your signature on the Account Card authorizes your account access. We will not be liable for refusing to honor any item or instruction if we believe the signature is not genuine. If you have authorized the use of a facsimile signature, we may honor any check or draft that appears to bear your facsimile signature even if it was made by an unauthorized person. You authorize us to honor transactions initiated by a third person to whom you have given your account number even if you do not authorize a particular transaction.

  • Authorized Signatories Each party represents that the individuals signing this agreement on its behalf are authorized, and intend, to bind the organization in contract.

  • Authorized Signatures (1) Each of the undersigned represents that he or she is fully authorized to enter into the terms and conditions of, and to execute, this Settlement Agreement on behalf of the Parties identified above their respective signatures and their law firms.

  • Your Signature (Sign exactly as your name appears on the face of this Note) Signature Guarantee*: _________________________ * Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee).

  • Witness Signature Witness Address …………………………………………..

  • Incumbency and Signatures A certificate of the secretary of Borrower certifying the names of the officer or officers of Borrower authorized to sign the Loan Documents, together with a sample of the true signature of each such officer.

  • Signature Pages This Agreement may be executed in any number of counterparts, each of which shall be deemed to be one and the same instrument. The exchange of copies of this Agreement and of signature pages by facsimile transmission shall constitute effective execution and delivery of this Agreement as to the Parties and may be used in lieu of the original Agreement for all purposes. Signatures of the Parties transmitted by facsimile shall be deemed to be their original signatures for all purposes.

  • Authorized Signatory With respect to any entity, each Person duly authorized to act as a signatory of such entity at the time such Person signs on behalf of such entity.

  • Signature Signature For the participant For the institution

  • Required Signatures a. Curriculum Academic Xxxx(s) b. Curriculum Chair(s) c. Chief Academic Officer

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