Exhibit 99.200 Subscription Agreement
SUBSCRIPTION AGREEMENT
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To: Xx. Xxxxxxx Xxxxx, President
Gold Pick Mines, Inc.
0000 Xxxxxxxxx Xxxxxxxx
Xxxxxxxx, Xxxxxxx Xxxxxxxx
Xxxxxx X0X 0X0
voice: (000) 000-0000 fax: (000 )000-0000
Dear Xx. Xxxxx:
Concurrent with execution of this Agreement, the undersigned (the "Purchaser")
is purchasing ______________ shares of common stock of Gold Pick Mines, Inc.
(the "Company") at the price of $0.10 per share (the "Subscription Price").
Purchaser hereby confirms the subscription for and purchase of the number of
shares ser forth below and hereby tenders the Subscription Price for such
Shares.
MAKE CHECK PAYABLE TO: Gold Pick Mines, Inc.
Executed this _________day of ______________,
at___________________________________ (Street Address),
________________ (City), _______ (State) _______ (Zip Code) __________(Country).
________________________________
Signature of Purchaser
________________________________
Printed Name of Purchaser
________________________________
Social Security Number/Tax I.D.
Number of Shares Purchased Total Subscription Price
__________________________ ________________________
Form of Payment:
Cash _______________
Check No. _____________
Other _______________
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ACCEPTED THIS _________DAY OF _____________________, __________.
Gold Pick Mines, Inc.
By (signed) ________________________
Xxxxxxx Xxxxx, President
