SUBSCRIPTION AGREEMENT
Exhibit 99.1
FC Financial Services Inc
000 Xxxxxxx Xxxxx
Xxxxx 00
Xxxxxxx, Xxxxxxx
Xxxxxx X0X 0X0
Dear Sirs:
Concurrent with execution of this Agreement, the undersigned (the "Purchaser") is purchasing __________________________________________________ (__________) shares of Common Stock of FC Financial Services Inc (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. Xxxx Xxxxxxx solicited him/her/it to purchase the shares of Common Stock of the Company and no other person participated in such solicitation other than Mr. Chebountchak.
MAKE CHECK PAYABLE TO: FC Financial Services Inc
Executed this _____ day of ___________________, 2004.
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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 $0.10 |
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US$ |
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Number of Shares Purchased |
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Total Subscription Price |
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Form of Payment: |
Cash:___________ |
Check #: _____________ |
Other: _________________ |
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By: |
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Title: |
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