Subscription Particulars. INFORMATION IN RESPONSE TO THIS SECTION WILL BE KEPT STRICTLY CONFIDENTIAL BOX A
Subscription Particulars. SUBSCRIPTION. The aggregate number of the Special Warrants being subscribed for is _______________________________. At a price equal to $1.40 per Special Warrant, the aggregate price of the Special Warrants being subscribed for is $__________________________________.
Subscription Particulars. (a) The aggregate number of Shares being subscribed for is 1,333,333. At a price of $6.00 per share, the aggregate purchase price of the Shares is $7,999,998.
Subscription Particulars. (a) The aggregate price of the Common Shares being subscribed for is $_________. The Common Shares are to be registered in the name of (same as name of Purchaser): .
Subscription Particulars. (a) The Purchaser hereby agrees to purchase Units as set forth below: Number of Units: Aggregate Purchase Price: (US$0.50 x number of Units): US$ --- Name of Purchaser: __________________________________________________ Street Address: _____________________________________________________ City and Country: ___________________________________________________ Postal Code: ________________________________________________________ Contact Name: _______________________________________________________ Alternate Contacts Name: ____________________________________________ Phone No.: __________________________________________________________ Fax No.: ____________________________________________________________ E-mail: _____________________________________________________________
Subscription Particulars. (a) The aggregate number of the of Common Shares being subscribed for is ______________ . The aggregate price of the Common Shares being subscribed for is $ _______________.
Subscription Particulars. The aggregate number of Shares subscribed for is . The Shares are to be registered in the name of: (if space is insufficient, attach a list) The certificates representing the Shares are to be delivered to: at its office at: Contact Name and Number: If the Purchaser is signing as agent for a principal and not as agent for a fully managed account, the name and address of the beneficial purchaser is: (if space is insufficient, attach a list) DATED at this day of , 2006. Name of Purchaser (please type or print) By: (Signature of Authorized Representative) (Name of Person Signing) Office or Title Address of Purchaser
Subscription Particulars. The aggregate number of Units subscribed for is for an aggregate subscription price of ___________. The Purchased Units (and underlying securities) are to be registered in the name of:
Subscription Particulars. BOX A: Particulars of Purchase of Shares Number of Shares Subscribed For: 1,076,752,423 ) Total subscription price payable: USD$21,535,048.46 (US$0.02 x number of Shares subscribed for) BOX B: Purchaser Information Name of Purchaser: Agel Enterprises International Sdn. Bhd. Street Address: X-0-00, Xxxxx X, 0xx Xxxxxx, Xxxxx Xx Jernih 811, Section 8 City and Province: Petaling Jaya, Selangor Country/Postal Code: 00000, Xxxxxxxx Contact Name: Xxxxxxxx Xxx Alternate Contact: Xxxxxxx Phone No.: 000-0000-0000 Fax No.: 000-0000-0000 BOX C: Registration Information Registration of the certificates representing the Securities should be made exactly as follows: Name of Purchaser: Agel Enterprises International Sdn. Bhd. Street Address: X-0-00, Xxxxx X, 0xx Xxxxxx, Xxxxx Xx Jernih 811, Section 8 City and Province: Petaling Jaya, Selangor Country/Postal Code: 00000, Xxxxxxxx Contact Name: Xxxxxxxx Xxx Alternate Contact: Xxxxxxx Phone No.: 000-0000-0000 Fax No.: 000-0000-0000 BOX D: BOX E:
Subscription Particulars. (a) The Purchaser hereby agrees to purchase Units as set forth below: Number of Units: Aggregate Purchase Price: (US$0.90 x number of Units): US$ Name of Purchaser: Street Address: City and Country: Postal Code: Contact Name: Alternate Contacts Name: Phone No.: Fax No.: E-mail:
