SUBSCRIPTION AGREEMENT
Exhibit 99.1
High Grade Mining Corp.
000 Xxxxxxx Xxxx
Xxxx Xxxxxxxxx, Xxxxxxx Xxxxxxxx
Xxxxxx X0X 0X0
Dear Sirs:
Concurrent with execution of this Agreement, the undersigned (the "Purchaser") is purchasing __________________________________________________ (__________) shares of Common Stock of High Grade Mining Corp. (the "Company") at a price of $0.10 per share (the "Subscription Price").
Purchaser hereby confirms the subscription for and purchase of said number of shares and hereby agrees to pay herewith the Subscription Price for such Shares.
Purchaser further confirms that Xx. Xxxxxx X. Xxxxx 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.
MAKE CHECK PAYABLE TO: High Grade Mining Corp.
If payment is by bank wire, please send to:
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Bank of Montreal |
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000 Xxxxxxx Xxxxxx |
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Xxxxxxxxx, Xxxxxxx Xxxxxxxx |
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Xxxxxx X0X 0X0 |
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OMITTED |
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Institution No. |
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Transit No. |
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Account No. |
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SWIFT Code: |
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Beneficiary: |
Executed this _____ day of ___________________, 2003.
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Signature of Purchaser |
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Address of Purchaser |
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Printed Name of Purchaser |
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PLEASE ENSURE FUNDS ARE IN US DOLLARS
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X $0.10 |
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US$ | ||||
Number of Shares Purchased |
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Total Subscription Price |
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Form of Payment: |
Cash:___________ |
Check #: _____________ |
Other: _________________ |
By: |
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Title: |
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