Subscription Agreement
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Gemini
Partners, Inc.
000X Xxxxxxx Xxxx
Xxxxxxxxxx, Xxxxxxxx 00000
Attn: Xxxxxx X. Xxxxxxxx, Chairman and Chief Executive Officer
Re: Prospectus, dated , 2003
Dear Xx. Xxxxxxxx:
The undersigned investor ("Investor") in this Subscription Agreement ("Agreement") hereby acknowledges receipt of the prospectus ("Prospectus"), dated , 2003, of Gemini Partners, Inc. ("Gemini"), a Delaware corporation, and subscribes for the following number of units upon the terms and conditions set forth in the Prospectus. The Investor agrees that this Agreement is subject to acceptance by Gemini, to availability and to certain other conditions.
The Investor hereby subscribes for units of Gemini's securities at $5.25 per unit, for an aggregate purchase price of $ . Enclosed is the Investor's check made payable to the "Xxxxx Bank, N.A./Gemini Partners, Inc. Escrow Account" and has been forwarded to the escrow account in the self-addressed stamped envelope that has been provided for convenience. The Investor may also elect to submit his subscription funds to the escrow account via wire transfer as provided in this Agreement.
ACCEPTED AND AGREED: | |||
Signature of Investor |
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Print Full Name |
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Xxxxxx Xxxxxxx |
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Xxxx, Xxxxx, Xxx |
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Xxxx Code and Telephone Number |
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ACCEPTED AND AGREED: GEMINI PARTNERS, INC. |
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By: |
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Xxxxxx X. Xxxxxxxx Chairman of the Board |
WIRING
INSTRUCTIONS:
Gemini Partners, Inc. Escrow Account
Xxxxx
Bank, N.A.
Xxxxxxxxxx, X.X. 00000
ABA No. 000000000
Account No. 00-000-000
Subscription Agreement