Warrants Not Transferable. The Warrant and all rights attached to it are not transferable. DATED as of the date first above written in these Terms and Conditions. By: ____________________________________ Authorized Signatory FORM OF SUBSCRIPTION TO: USR Technology, Inc. 00000 Xxxxx Xxxxxxx 000 Xxxxx 000 Xxxxxxx, Xxxxx 00000 The undersigned Holder of the within Warrants hereby subscribes for ____________ common shares (the “Shares”) of USR Technology, Inc. (the “Company) pursuant to the within Warrants at US$1.25 per Share on the terms specified in the said Warrants. This subscription is accompanied by a certified cheque or bank draft payable to or to the order of the Company for the whole amount of the purchase price of the Shares. The undersigned Holder hereby certifies that the undersigned is not a U.S. person and is not subscribing for the Shares on Behalf of a U.S. person. The undersigned hereby directs that the Shares be registered as follows:
Appears in 1 contract
Samples: Private Placement Subscription Agreement (USR Technology, Inc.)
Warrants Not Transferable. The Warrant Warrants and all rights attached to it are not transferable. DATED as of the date first above written in these Terms and Conditions. By: _____________________________________________ Authorized Signatory FORM OF SUBSCRIPTION TO: USR TechnologyMABCURE INC. 0000 Xxxxx Xxxxxxxx Xxxxxx, Inc. #X00 – 401 Xxxx, Xxxxxx 00000 Xxxxx Xxxxxxx 000 Xxxxx 000 Xxxxxxx, Xxxxx 00000 XXX The undersigned Holder of the within Warrants hereby subscribes for ____________ common shares (the “"Shares”") in the common stock of USR Technology, Inc. MABCURE INC. (the “"Company) pursuant to the within Warrants at US$1.25 per Share on the terms specified in the said Warrants. This subscription is accompanied by a certified cheque or bank draft payable to or to the order of the Company for the whole amount of the purchase price of the Shares. The undersigned Holder hereby certifies that the undersigned is not a U.S. person and is not subscribing for the Shares on Behalf of a U.S. person. The undersigned hereby directs that the Shares be registered as follows:
Appears in 1 contract
Samples: Private Placement Subscription Agreement (Mabcure Inc.)
Warrants Not Transferable. The Warrant Warrants and all rights attached to it are not transferable. DATED as of the date first above written in these Terms and Conditions. By: __________________________________________ Authorized Signatory FORM OF SUBSCRIPTION TO: USR TechnologyMABCURE INC. 0000 Xxxxx Xxxxxxxx Xxxxxx, Inc. #X00 – 401 Xxxx, Xxxxxx 00000 Xxxxx Xxxxxxx 000 Xxxxx 000 Xxxxxxx, Xxxxx 00000 XXX The undersigned Holder of the within Warrants hereby subscribes for ____________ common shares (the “"Shares”") of USR Technology, Inc. MABCURE INC. (the “"Company") pursuant to the within Warrants at US$1.25 per Share on the terms specified in the said Warrants. This subscription is accompanied by a certified cheque or bank draft payable to or to the order of the Company for the whole amount of the purchase price of the Shares. The undersigned Holder hereby certifies that the undersigned is not a U.S. person and is not subscribing for the Shares on Behalf of a U.S. person. The undersigned hereby directs that the Shares be registered as follows:
Appears in 1 contract
Samples: Private Placement Subscription Agreement (Mabcure Inc.)
Warrants Not Transferable. The Warrant Warrants and all rights attached to it are not transferable. DATED as of the date first above written in these Terms and Conditions. By: ____________________________________ Authorized Signatory FORM OF SUBSCRIPTION TO: USR TechnologyMABCURE INC. 0000 Xxxxx Xxxxxxxx Xxxxxx, Inc. #X00 – 401 Xxxx, Xxxxxx 00000 Xxxxx Xxxxxxx 000 Xxxxx 000 Xxxxxxx, Xxxxx 00000 XXX The undersigned Holder of the within Warrants hereby subscribes for ____________ common shares (the “"Shares”") of USR Technology, Inc. MABCURE INC. (the “"Company") pursuant to the within Warrants at US$1.25 per Share on the terms specified in the said Warrants. This subscription is accompanied by a certified cheque or bank draft payable to or to the order of the Company for the whole amount of the purchase price of the Shares. The undersigned Holder hereby certifies that the undersigned is not a U.S. person and is not subscribing for the Shares on Behalf of a U.S. person. The undersigned hereby directs that the Shares be registered as follows:: TOTAL: (Please print full name in which share certificates are to be issued, stating whether Mr., Mrs. or Miss is applicable). DATED this ________ day of __________________ , ______. In the presence of: Signature of Witness Signature of Warrant Holder
Appears in 1 contract
Samples: Private Placement Subscription Agreement (Mabcure Inc.)