SUBSCRIPTION AGREEMENT
EXHIBIT 99.1
Eagle River Mining Corporation
000-000 Xxxx Xxxxxxxx Xxxxxx, Xxxxx 000
Xxxxxxxxx, XX, Xxxxxx, X0X 0X0
Dear Sirs:
Concurrent with execution of this Agreement, the undersigned (the "Purchaser") is purchasing ______________ shares of common stock of Eagle River Mining Corp. (the "Company") at the price of $0.10 per share (the "Subscription Price").
Purchaser hereby confirms the subscription for and purchase of the said number of shares and hereby agrees to pay herewith the Subscription Price for such Shares.
MAKE CHECK PAYABLE TO: EAGLE RIVER MINING CORP.
Executed this _________day of ________________________, at___________________ (Street Address), __________________ (City), __________________ (State) ___________ (Zip Code).
________________________________
Signature of Purchaser
________________________________
Printed Name of Purchaser
________________________________
Social Security Number/Tax I.D.
|
Number of Shares Purchased |
Total Subscription Price |
|
_______________________ |
___________________ |
Form of Payment:
Cash _______________
Check No. _____________
Other _______________
ACCEPTED THIS _________DAY OF _____________________, __________.
EAGLE RIVERING MINING CORP.
By: _____________________________
Title: ___________________________
