SUBSCRIPTION AGREEMENT
Exhibit 1.1
INVESTOR SUBSCRIPTION AGREEMENT FOR AMALGAMATED PICTURES CORP.
Persons interested in purchasing units of Amalgamated Pictures Corp. must return this completed subscription agreement along with a wire transfer, check or money order for their total payment, payable only to:
AMALGAMATED PICTURES CORP.
0000 Xxxxxxxxx Xx., #0000
Xxxxxxxxx, XX 00000
If and when accepted by us, this subscription agreement shall constitute a subscription for units consisting of one share of our common stock and one Class A warrant.
An accepted copy of this agreement will be returned to you as your receipt, and certificates for your stock and warrants will be issued to you shortly thereafter.
Method of payment:
[ ] Check, [ ] Money Order, [ ] Wire
(e-mail for instructions: xxxxxxxx@xxxxxxxxx.xxx) payable only to: Amalagamated Pictures Corp.
I hereby irrevocably tender this subscription agreement for the purchase of _________ units at $5.10 per unit. With this subscription agreement, I tender payment in the amount of $__________ for the units subscribed.
In connection with this investment, I represent and warrant as follows:
(a) Prior to tendering payment for the shares, I received your final prospectus dated _____________, 2005.
(b) I am a bona fide resident of the state of ________________________.
Please issue the securities, which I am purchasing as follows:
Individual(s)—if more than one owner, please issue as follows:
| [ ] | Tenants-in-Common (all parties must sign--each investor has an undivided interest) | |
| [ ] | Joint Tenants with Right of Survivorship (all parties must sign--joint ownership) | |
| [ ] | Minor with adult custodian under the Uniform Gift to Minors Act in your state (the minor will have sole beneficial ownership) __________________________ (minor's name) |
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Investor Xx. 0 |
Xxxxxxxx Xx. 0 |
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Xxxxxx (xxxxxxxxx address) |
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Home Phone |
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Social Security Number |
Social Security Number |
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Signature |
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Signature |
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ACCEPTED BY: Amalgamated Pictures Corp.
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Name, Title |
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SUBSCRIPTION FORM FOR OTHER THAN INDIVIDUAL
Purchasers of units of Amalgamated Pictures Corp., other than individuals, must complete this form for the proper entity that will hold title to the units. Send this completed subscription agreement along with a wire transfer, check or money order for the total payment, payable only to:
AMALGAMATED PICTURES CORP.
0000 Xxxxxxxxx Xx., #0000
Xxxxxxxxx, XX 00000
If and when accepted by us, this subscription agreement shall constitute a subscription for units consisting of one share of our common stock and one Class A warrant.
An accepted copy of this agreement will be returned to you as your receipt, and certificates for your stock and warrants will be issued to you shortly thereafter.
Method of payment:
[ ] Check, [ ] Money Order, [ ] Wire
(email for instructions: xxxxxxxx@xxxxxxxxx.xxx) payable only to: Amalgamated Pictures Corp.
We hereby irrevocably tender this subscription agreement for the purchase of _________ units at $5.10 per unit. With this subscription agreement, we tender payment in the amount of $__________ for the units subscribed.
In connection with this investment, we represent and warrant as follows:
(a) Prior to tendering payment for the shares, we have received your final prospectus dated _________, 2005.
(b) Our entity is domiciled in the state of ________________________.
ENTITY:
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CORPORATION (authorized agent of corporation must sign) |
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EXISTING PARTNERSHIP (at least one partner must sign) |
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TRUST (all trustees must sign) |
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Name of Entity |
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Authorized Agent (print name above) |
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Title of Authorized Agent |
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Social Security or Federal Identification Number of Entity |
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Street (business address) or address of Registered Agent |
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Business Telephone or Home Telephone of Registered Agent |
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The undersigned acknowledges that the foregoing information is true, accurate, and complete.
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For a Trust, all Trustees must sign. Add a line for each.
ACCEPTED BY: Amalgamated Pictures Corp.
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