SUBSCRIPTION AGREEMENT
Exhibit 99.1
American Xanthan Corporation
0000 Xxxxxxx Xxxxxx
Xxxxx 0000
Xxxxxxxx, XX 00000
Dear Sirs:
Concurrent with execution of this Agreement, the undersigned (the “Purchaser”) is purchasing _______________________________________________ (__________) shares of Common Stock of American Xanthan Corporation (the “Company”) at a price of $0.01 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 Mr. Xxxx Xxx 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. Xxx.
MAKE CHECK PAYABLE TO: AMERICAN XANTHAN CORPORATION
Executed this _____ day of ___________________, 2014.
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Name of Purchaser
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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 $0.01
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=
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US$___________
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Number of Shares 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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AMERICAN XANTHAN CORPORATION
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By:
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Title:
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