SUBSCRIPTION AGREEMENT
Raphael Industries Ltd,
0000 Xxxx Xxxx,
Xxxxx 000
Xxxx, XX 00000
Dear Sirs:
Concurrent with execution of this Agreement, the undersigned (the “Purchaser”) is purchasing ________________ shares of Common Stock of Raphael Industries Ltd, (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: RAPHAEL INDUSTRIES LTD.
Executed this _____ day of ___________________, 2010.
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_____________________________________
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______________________________________
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Signature of Purchaser
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______________________________________
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Address of Purchaser
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______________________________________
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Printed Name of Purchaser
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__________________________
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X
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$0.10
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=
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US$___________
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Number of Shares Purchased
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Total Subscription Price
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Form of Payment:
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Cash: ____________
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Check #: ____________
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Other: _______________
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By: ________________________________________
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Title: ______________________________________
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