Common use of SUBSCRIPTION AND SUBSCRIBER INFORMATION Clause in Contracts

SUBSCRIPTION AND SUBSCRIBER INFORMATION. Please print all information (other than signatures), as applicable, in the space provided below Number of Units: (Name of Subscriber) Unit Price: X $3.85 Account Reference (if applicable): Aggregate Subscription Price: By: (the “Subscription Price”) Authorized Signature (Official Capacity or Title – if the Subscriber is not an individual) (Name of individual whose signature appears above if different than the name of the Subscriber printed above.) (Name of Principal) (Subscriber’s Address, including State) (Principal’s Address) (Telephone Number) (Email Address)

SUBSCRIPTION AND SUBSCRIBER INFORMATION. Please print all information (other than signatures), as applicable, in the space provided below Number of Units: (Name of Subscriber) Unit Price: X $3.85 0.48 Account Reference (if applicable): = Aggregate Subscription Price: By: (the “Subscription Price”) Authorized Signature (Official Capacity or Title – — if the Subscriber is not an individual) (Name of individual whose signature appears above if different than the name of the Subscriber printed above.) (Name of Principal) (Subscriber’s Address, including State) (Principal’s Address) (Telephone Number) (Email Address)