IN WHICH TITLE IS TO BE HELD. (circle one) (a) Individual Ownership (b) Community Property (c) Joint Tenant with Right of Survivorship (both parties must sign) (d) Partnership* (e) Tenants in Common (f) Company* (g) Trust* (h) Other *If Units are being subscribed for by an entity, the attached Certificate of Signatory must also be completed.
Appears in 4 contracts
Samples: Subscription Agreement (Pacific Pharmaceuticals Inc), Subscription Agreement (Xytronyx Inc), Subscription Agreement (Aronex Pharmaceuticals Inc)
IN WHICH TITLE IS TO BE HELD. (circle one)) -----------------------------------
(a) Individual Ownership (b) Community Property (c) Joint Tenant with Right of Survivorship (both parties must sign) (d) Partnership* (e) Tenants in Common (f) Company* (g) Trust* (h) Other *If Units Securities are being subscribed for by an entity, the attached Certificate of Signatory must also be completed.
Appears in 2 contracts
Samples: Securities Purchase Agreement (Nanopierce Technologies Inc), Subscription Agreement (Salix Pharmaceuticals LTD)
IN WHICH TITLE IS TO BE HELD. (circle one)) -----------------------------------
(a) Individual Ownership (b) Community CommSharey Property (c) Joint Tenant with Right of Survivorship (both parties must sign) (d) Partnership* (e) Tenants in Common (f) Company* (g) Trust* (h) Other Other* *If Units Securities are being subscribed for by an entity, the attached Certificate of Signatory must also be completed.
Appears in 1 contract
Samples: Subscription Agreement (National Investment Managers Inc.)
IN WHICH TITLE IS TO BE HELD. (circle one)
(a) Individual Ownership Ownership
(b) Community Property Property
(c) Joint Tenant with Right of Survivorship (both parties must sign) )
(d) Partnership* *
(e) Tenants in Common Common
(f) Company* *
(g) Trust* *
(h) Other *If Units Shares are being subscribed for by an entity, the attached Certificate of Signatory must also be completed.
Appears in 1 contract
Samples: Subscription Agreement (Inkine Pharmaceutical Co Inc)
IN WHICH TITLE IS TO BE HELD. (circle one)
(a) Individual Ownership Ownership
(b) Community Property Property
(c) Joint Tenant with Right of Survivorship (both parties must sign) )
(d) Partnership* *
(e) Tenants in Common Common
(f) Company* *
(g) Trust* *
(h) Other *If Units are being subscribed for by an entity, the attached Certificate of Signatory must also be completed.
Appears in 1 contract
IN WHICH TITLE IS TO BE HELD. (circle one)
(a) Individual Ownership (b) Community Property (c) Joint Tenant with Right of Survivorship (both parties must sign) (d) Partnership* (e) Tenants in Common (f) Company* (g) Trust* (h) Other *If Units Securities are being subscribed for by an entity, the attached Certificate of Signatory must also be completed. Please be sure the name(s) on the Signature Page correspond.
Appears in 1 contract
Samples: Securities Purchase Agreement (Skybridge Wireless Inc)
IN WHICH TITLE IS TO BE HELD. (circle one)) -----------------------------------
(a) Individual Ownership (b) Community Property (c) Joint Tenant with Right of Survivorship (both parties must sign) (d) Partnership* (e) Tenants in Common (f) Company* (g) Trust* (h) Other *If Units are being subscribed for by an entity, the attached Certificate of Signatory must also be completed.
Appears in 1 contract
Samples: Subscription Agreement (Conversion Technologies International Inc)
IN WHICH TITLE IS TO BE HELD. (circle one)
(a) Individual Ownership Ownership
(b) Community Property Property
(c) Joint Tenant with Right of Survivorship (both parties must sign) )
(d) Partnership* *
(e) Tenants in Common Common
(f) Company* *
(g) Trust* *
(h) Other *If Units Securities are being subscribed for by an entity, the attached Certificate of Signatory must also be completed.
Appears in 1 contract
IN WHICH TITLE IS TO BE HELD. (circle one)
(a) Individual Ownership (b) Community Property (c) Joint Tenant with Right of Survivorship (both parties must sign) (d) Partnership* (e) Tenants in Common (f) Company* (g) Trust* (h) Other ** If Units are Common Stock is being subscribed for by an entity, the attached Certificate of Signatory must also be completed.
Appears in 1 contract
IN WHICH TITLE IS TO BE HELD. (circle one)) -----------------------------------
(a) Individual Ownership (b) Community Property (c) Joint Tenant with Right of Survivorship (both parties must sign) (d) Partnership* (e) Tenants in Common (f) CompanyCorporation* (g) Trust* (h) Other *If Units are being subscribed for by an entity, the attached Certificate of Signatory must also be completed.
Appears in 1 contract
Samples: Subscription Agreement (Keryx Biophamaeuticals Inc)
