EXHIBIT A
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Name of Subscriber
SUBSCRIPTION AGREEMENT
FAN ENERGY INC.
1998 Public Offering of Common Stock
at
$1.00 Per Share
Minimum Purchase: 20,000 Shares
Fan Energy Inc.
0000 Xxxxxxxx, Xxxxx 000
Xxxxxx, Xxxxxxxx 00000
Gentlemen:
1. Subscription for Shares. The undersigned, intending to be legally bound,
hereby irrevocably subscribes to purchase from Fan Energy Inc., a Nevada
corporation (the "Company"), the number of shares of common stock, $0.001 par
value ("Shares"), set forth below at a purchase price of $1.00 per Share. This
subscription is submitted in accordance with, and subject to, the terms and
conditions described herein and in the Prospectus dated May __, 1998 relating to
the public offering and sale of the Shares, a copy of which has been delivered
to and received by the under signed. The signature of the undersigned below
confirms the subscription to purchase Shares in the public offering.
2. The number of Shares subscribed for, the total purchase price and the
method of payment are as follows:
Number of Shares _____________________________
Total Purchase Price (enclosed) $_____________________________
Method of Payment _____________________________
All checks are to be made payable to: "The Bank of Denver, Fan Energy Inc.,
Escrow Account."
3. Escrow of Funds. Payments made by all subscribers shall be delivered to
The Bank of Denver, Denver, Colorado as Escrow Agent in connection with the
offering of the Shares by the Company. This subscription is irrevocable by the
subscriber. Subscriber's funds shall be held by the Escrow Agent in accordance
with the terms of the offering as described in the Prospectus. Certificates
representing the Shares of common stock of the Company shall be issued to
subscriber and others who participate in the offering only at such time as funds
for the purchase of Shares are delivered the Company, or within two business
days thereafter and only in accordance with the terms of the offering as
described in the Prospectus. Neither the Subscription Agreement nor any of the
rights of the undersigned subscriber may be transferred or assigned.
Dated: , 1998
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Signature of Subscriber
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Complete Name of Subscriber
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Complete Mailing Address of Subscriber
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Telephone Number of Subscriber
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Tax Identification Number of Subscriber
Certificates representing the Shares subscribed for shall be issued in the
name of the subscriber as set forth above unless the following is completed:
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Names(s) in which the Shares are to be
registered
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Form of joint ownership (if applicable)
[If the certificates are to be registered in the name of a person other
than the subscriber who signs this Subscription Agreement, please furnish the
tax identification number for each person in whose name the Shares are to be
registered:
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