FOR VALUE RECEIVED, the undersigned hereby subscribes for the purchase of ( ----- ) shares of ______________, (Corporation) for the total purchase price of $ __.
I understand that said shares shall have full voting rights and be non-assessable and upon issue shall constitute __% of the total outstanding shares of the Corporation, all classes inclusive.
The subscription price shall be fully paid upon demand of the treasurer of the Company and delivery of said shares.
Signed this ___________ day of __________, 20 __.
The foregoing subscription is accepted on behalf of the Corporation this ____________ day of _____________, 20 __.
On behalf of the Corporation
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