SUBSCRIPTION AGREEMENT
Exhibit
99.1
Xxxxxxxxx
Xxxxxx Minerals Inc.
000
00xx
Xxxxxx,
Xxxxx 000
Xxxxxxx,
Xxxxxxx
Xxxxxx
X0X 0X0
Dear
Sirs:
Concurrent
with execution of this Agreement, the undersigned (the "Purchaser") is
purchasing __________________________________________________ (__________)
common shares of XXXXXXXXX
XXXXXX MINERALS INC. (the
"Company") at a price of $0.05 per unit (the "Subscription Price").
Purchaser
hereby confirms the subscription for and purchase of said number of common
shares and hereby agrees to pay herewith the Subscription Price for such common
shares.
Purchaser
further confirms that Xxxxx
Xxxxxxx OR Xxxxxxx
X’Xxxxx (Circle
appropriate director’s name)
solicited him/her/it to purchase the common shares of the Company and no other
person(s) whatsoever participated in such solicitation.
MAKE
CHECK PAYABLE TO: XXXXXXXXX
XXXXXX MINERALS INC.
Executed
this ___ day of ____________, 2007.
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___________________________________
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_________________________________________
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Signature
of Purchaser
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___________________________________
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___________________________________
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Address
of Purchaser
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___________________________________
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Printed
Name of Purchaser
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PLEASE
ENSURE FUNDS ARE IN US DOLLARS
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X
$0.05
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=
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US$
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Number
of Units Purchased
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Total
Subscription Price
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Form
of Payment:
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Cash:___________
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Check
#: _____________
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Other:
_________________
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Accepted
XXXXXXXXX
XXXXXX MINERALS INC.
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By:
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__________________________
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Title:
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__________________________
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