SUBSCRIPTION AGREEMENT Goldenwell Biotech, Inc.
EXHIBIT 10.1
The undersigned (the “Subscriber”) hereby irrevocably subscribes for that number of shares of common stock (the “Shares”) of Goldenwell Biotech, Inc., a Nevada corporation (the “Company”), set forth below, upon and subject to the terms and conditions set forth in the Company’s Prospectus dated _________, 2020, in the United States Securities and Exchange Commission Registration Statement on Form S-1, to which this Subscription Agreement is attached and which the Subscriber acknowledges as having received and read.
Total number of shares subscribed for at US $0.05 per share: ________________ shares.
Amount paid with this Subscription Agreement at a price of US $_____ per Share: US $________.
This Subscription Agreement constitutes the entire agreement among the parties hereto with respect to the subject matter hereof and may be amended only by a writing executed by all parties.
IN WITNESS WHEREOF,
The undersigned has executed this Subscription Agreement this ____ day of ______________, 2020.
Name of Entity (for purchasers which are entities only): _____________________
* Signature: _________________________________________
* Print Name: ________________________________________
Print Title (for purchasers which are entities only): _________________________
* Address: ____________________________________________
____________________________________________
Subscriber’s US Social Security Number or
* Identification number of home jurisdiction: ___________________________
Signature of Co-owners, if applicable: ___________________________________
* Name as it should appear on the Certificate: _______________________________
If Joint Ownership, check one (all parties must sign above):
[ ] Joint Tenants with Right of Survivorship
[ ] Tenants in Common
[ ] Community Property
If Fiduciary or Business Entity check one:
[ ] Trust Authorized Person _________________________ Capacity_____________________
[ ] Estate Authorized Person _________________________ Capacity_____________________
[ ] Corporation Authorized Person _________________________ Capacity_____________________
[ ] Limited Liability Company
Authorized Person _________________________ Capacity_____________________
[ ] Partnership Authorized Person _________________________ Capacity_____________________
[ ] Other ____________________ (Describe)
Authorized Person _________________________ Capacity_____________________
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ACCEPTANCE OF SUBSCRIPTION
The foregoing Subscription is hereby accepted for and on behalf of Goldenwell Biotech, Inc. this _____ day of _____________, 2020.
By: ______________________________
Name: _______________________
Title: _______________________
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