CATALYST GROUP HOLDINGS CORP. SUBSCRIPTION AGREEMENT
Exhibit 10.6
1.
INVESTMENT:
|
(a)
|
The
undersigned subscribes for ____________ shares of Common Stock of Catalyst
Group Holdings Corp., at $2.50 per share.
|
| (b) | Total subscription price ($2.50 times number of shares): = $ |
2.
INVESTOR INFORMATION:
_______________________ ________________ _______________________
Name
(type or
print) Social
Sec.
No. Address
_______________________ ________________ _______________________
Name
(type or
print) Social
Sec.
No. Address
Mailing
Address:
___________________________________________________________________________________________________________________________________________________
Street City
State Zip
3. TYPE OF OWNERSHIP: (You must check one box)
| 1. | [ ] | Individual | 6. | [ ] | Joint Tenants with rights of Survivorship | |
| 2. | [ ] | Tenants in Common | 7. | [ ] | Custodian for_____________________________________ | |
| 3. | [ ] | Community Property | 8. | [ ] | Uniform Gifts to Minors Act of the State ______________ | |
| 4. | [ ] | Partnership | 9. | [ ] | Corporation _____________________________________ | |
| 5. | [ ] | Trust | 10. | [ ] | Other (explain) ___________________________________ | |
4.
RECEIPT OF DISCLOSURE DOCUMENT:
By
executing this subscription agreement the undersigned acknowledges receipt of a
current Prospectus, as supplemented to the date of this Subscription Agreement,
in which the terms and conditions of the offering of Common Stock and the risks
associated therewith are described.
5.
TERMINATION OF THE OFFERING:
The
undersigned understands that the Company may terminate the offering at any time
and for any reason. If the offering is so terminated, and the Company is holding
subscriptions that have not been accepted by an authorized representative of the
Company, together with the un-accepted subscription agreements, then in that
event the subscriptions so held shall be returned without any interest earned
thereon.
6.
REPRESENTATION AND WARRANTS:
By
executing this subscription agreement, the undersigned represents and warrants
to the Company that:
|
(a)
|
Subscriber
is buying the Common Stock for Subscriber's own account or is buying for
the account or benefit of a member or members of Subscriber's immediate
family or in a fiduciary capacity for the account of another person or
entity and is not purchasing as an agent for another. Furthermore, if
Subscriber is purchasing for the account of another person or entity,
Subscriber has full authority to execute this Subscription Agreement in
such capacity and on behalf of such person or
entity.
|
|
(b)
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Subscriber is 18 years of age or over (You must check box) [ ] Yes[ ] No |
|
(c)
|
Subscriber
has received, read, and understands the Prospectus
dated:_______________________, 2010
|
|
(d)
|
Subscriber
can afford the entire loss of the purchase price hereto should there be
such a loss.
|
7.
ACCEPTANCE OF SUBSCRIPTION:
The
undersigned hereby confirms Subscriber's understanding that the Company has the
full right to accept or reject this subscription, providing that the Company
must accept or reject the subscription by____________________, 2010. In case of
rejection of a subscription, contributions of such persons will promptly be
returned to such persons without interest thereon.
Please
make a copy of your completed Subscription Agreement
Signatures:
Executed
this day of 2010 at,
_____________________________________________________Address City State Zip
X__________________________ X__________________________
Signature
(investor or authorized
signature) Signature
(investor or authorized signature)
MAKE
CHECK PAYABLE TO: CATALYST
GROUP HOLDING
CORP.
Accepted
for the Company this _________day of _____________________________,
2010.
By: _____________________________ Title: _____________________________
