SHIFTPIXY, INC. Warrant Agreement
EXHIBIT 3.3
I hereby understand that the Units of SHIFTPIXY, INC., a Wyoming Corporation (the "Company"), include a warrant to purchase one additional share at $2 within one year of subscription date and one warrant to purchase an additional share at $3 within two years of subscription date. These warrants may not be separated from the original shares. I shall tender the full subscription amount in the form of a check, draft, or money order payable to the Company when/if I decide to exercise my warrants. If I don't exercise my warrants within the required timeframe they shall expire unexercised.
I am a resident of the State of _________________________________.
________________________________________________________________________
IN WITNESS WHEREOF, I have this Agreement on the _______________ day of _____________, 2016.
How each Unit is to be held:
Print Subscriber's Name: ____________________________
( ) Individual
( ) Corporation
( ) Joint Tenants WROS
( ) Specify
Signature of Subscriber: _____________________________
Mailing Address: __________________________________________________
________________________________________________________________
City, State, and Zip Code
Social Security or Federal I.D. Number: _____________________
RECEIPT AND ACCEPTANCE
SHIFTPIXY, INC.., hereby acknowledges receipt from the subscriber of $________________, for (# of Units)__________________ Units and accepts such applicant's above subscription.
By: ____________________________________ | Date: _______________________ | |
| (Title) |
