SUBSCRIPTION AGREEMENT
Exhibit
99.1
Raphael
Industries Ltd,
0000 Xxxx
Xxxx,
Xxxxx
000
Xxxx, XX
00000
Dear
Sirs:
Concurrent
with execution of this Agreement, the undersigned (the "Purchaser") is
purchasing ________________ shares of Common Stock of Raphael Industries Ltd,
(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.
MAKE
CHECK PAYABLE TO: RAPHAEL INDUSTRIES LTD
Executed this _____ day of
___________________, 2010.
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______________________________________
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)
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_____________________________________
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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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__________________________
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X
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$0.10
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=
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US$___________
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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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By:
________________________________________
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Title:
______________________________________
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