Subscription Agreement Medisafe 1 Technologies Corp
The
Undersigned hereby subscribes for:
100,000
shares of Common Stock ($.0001par value) (the “Common Stock”) of The Medisafe 1
Technologies Corp ( the “Company”) at $0.025 per Share pursuant to receiving a
copy of the registration statement filed under Form S1 of the Securities Act of
1933, as amended (the “Act”) and the prospectus contained therein, the
undersigned acknowledges that he fully understands that (i) the Company is a
start-up company and has not yet generated revenue; (ii) following completion of
its current financing (assuming 4,000,000 shares are sold), the Company will
have 10,000,000 shares of Common Stock issued and outstanding; and (iii) the
Shares are being offered pursuant to registration under Form S1 of the
Securities Act of 1933, as amended (the “Act”) and the prospectus contained
therein. It is further acknowledged that the Undersigned: (i) has received a
copy of the prospectus (hardcopy or electronically); (ii) is not relying upon
any representations other than those contained in the prospectus; and (iii) has
had access to the Company’s officers and directors for purposes of obtaining any
information requested by the Undersigned. Purchaser further confirms that either
Xx. Xxxxx Xxxxxxx or Xx. Xxxxxxx Xxxxxxxx , has solicited him/her/it
to purchase the shares of Common Stock of the Company and no other person
participated in such solicitation other than Xx Xxxxx Xxxxxxx or Xx.
Xxxxxxx Xxxxxxxx , who are officers and directors of the Company ..
Payment
of $2,500 (or 9,500 NIS ) as payment in full of the purchase price will be made
via check directly to Medisafe 1 Technologies Corp and mailed to the
company ,5A Xxxxxxxx Xxxxxx , Xxxxxxxxx, Xxxxxx 00000.
The
Undersign represents that he has the financial and business acumen to properly
evaluate the risks and merits of this investment.
Assumption of Risks:
The undersigned has
read the risk factors as stated in the Company’s Form S1 and can bear the full
economic risk of this investment, including the possible total loss thereof.
Further, the undersigned acknowledges that this investment is currently illiquid
and may continue as such for an indeterminate period of time.
If this
subscription is rejected by the Company, in whole or in part, for any reason,
all funds will be returned, without interest or deduction of any kind, within
twelve business days of such rejection.
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Purchaser
Information:
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Printed
Name:
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Signature;
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Date:
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Address:
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the
foregoing Subscription is hereby accepted in full on behalf
of Medisafe 1 Technologies Corp
Date
____________________________________.
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By:
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Xxxxx
Xxxxxxx
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