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Exhibit 99.1
SUBSCRIPTION AGREEMENT
Dundee Mining, Inc.
000 Xxxxxxxx Xxxxx X.X.
Xxxxxxx, Xxxxxxx
Xxxxxx X0X 0X0
Dear Sirs:
Concurrent with execution of this Agreement, the undersigned (the
"Purchaser") is purchasing ________________ shares of Common Stock of
Dundee Mining, 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.
MAKE CHECK PAYABLE TO: DUNDEE MINING, INC.
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# _________________
Other _________________
ACCEPTED THIS _____ DAY OF ________________, _______.
DUNDEE MINING, INC.
BY: __________________________________
Title: ___________________________
