NASD AFFILIATION. Are you affiliated or associated with an NASD member firm (please check one): Yes _________ No __________ If Yes, please describe: __________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________
Appears in 3 contracts
Samples: Subscription Agreement (Carbon Sciences, Inc.), Subscription Agreement (Carbon Sciences, Inc.), Subscription Agreement (Carbon Sciences, Inc.)
NASD AFFILIATION. Are you affiliated or associated associated(1) with an NASD member firm firm(2) (please check one): Yes _____YES ____ No ______NO ____ If Yes, please describe: _____________________________________________________________________________ ______________________________________________________ __________________________________________________________________________________________________________________________________
Appears in 2 contracts
Samples: Subscription Agreement and Registration Rights Agreement (Accumed International Inc), Subscription Agreement and Registration Rights Agreement (Accumed International Inc)
NASD AFFILIATION. Are you affiliated or associated with an NASD member firm (please check one): Yes _________ No __________ If Yes, please describe: __________________________________________________________________________ _________________________________________________________ ___________________________________________________________________________________________________________________________________ Dated: October 30, 2008 By: /s/ Xxxxxxx Xxxxxxx Signature Name Typed or Printed Entity Name Xxxxxxx Xxxx, Xxxxx and Zip Code Telephone Facsimile Ficha Number/ Redi Number Name in which Shares should be issued/held: Preystone Investment Corp.
Appears in 1 contract
NASD AFFILIATION. Are you affiliated or associated associate(1) with an NASD member firm firm(2) (please check one): Yes _____YES ____ No ______NO ____ If Yes, please describe: _____________________________________________________________________________ ______________________________________________________ __________________________________________________________________________________________________________________________________
Appears in 1 contract