Salesperson information. [Instruction: The salesperson is the person who meets with, or provides information to, the subscriber with respect to making this investment. That could include a representative of the issuer or selling security holder, a registrant or a person who is exempt from the registration requirement.] First and last name of salesperson (please print): Telephone: E-mail: Name of firm (if registered):
Appears in 2 contracts
Samples: Securities Purchase Agreement (TLG Acquisition One Corp.), Securities Purchase Agreement (TLG Acquisition One Corp.)
Salesperson information. [Instruction: The salesperson sales person is the person who meets with, or provides information to, the subscriber purchaser with respect to making this investment. That could include a representative of the issuer or selling security holder, a registrant or a person who is exempt from the registration requirement.] First and last name of salesperson (please print): Telephone: E-mailEmail: Name of firm (if registered):
Appears in 2 contracts
Samples: Subscription Agreement (Elys Game Technology, Corp.), Subscription Agreement (Elys Game Technology, Corp.)
Salesperson information. [Instruction: The salesperson is the person who meets with, or provides information to, the subscriber purchaser with respect to making this investment. That could include a representative of the issuer or selling security holder, a registrant or a person who is exempt from the registration requirement.] First and last name of salesperson (please print): Telephone: E-mailEmail: Name of firm (if registered):
Appears in 1 contract
Samples: Registration Rights Agreement (Northern Dynasty Minerals LTD)
Salesperson information. [Instruction: The salesperson is the person who meets with, or provides information to, the subscriber purchaser with respect to making this investment. That could include a representative of the issuer or selling security holder, a registrant or a person who is exempt from the registration requirement.] First and last name of salesperson (please print): Telephone: E-mail: Name of firm (if registered):
Appears in 1 contract
Samples: gravitasinvestments.com
Salesperson information. [Instruction: The salesperson is the person who meets with, or provides information to, the subscriber purchaser with respect to making this investment. That could include a representative of the issuer or selling security holder, a registrant or a person who is exempt from the registration requirement.] First and last name of salesperson (please print): Telephone: E-mailEmail: Name of firm (if registered):): SECTION 6 TO BE COMPLETED BY THE ISSUER OR SELLING SECURITY HOLDER
Appears in 1 contract
Samples: Subscription Agreement
Salesperson information. [Instruction: The salesperson is the person who meets with, or provides information to, the subscriber purchaser with respect to making this investment. That could include a representative of the issuer or selling security holder, a registrant or a person who is exempt from the registration requirement.] . First and last name of salesperson (please print): Telephone: E-mailEmail: Name of firm (if registered):
Appears in 1 contract
Samples: Subscription Agreement
Salesperson information. [Instruction: The salesperson is the person who meets with, or provides information to, the subscriber with respect to making this investment. That could include a representative of the issuer or selling security holderissuer, a registrant or a person who is exempt from the registration requirement.] First and last name of salesperson (please print): Telephone: E-mailEmail: Name of firm (if registered):
Appears in 1 contract
