Common Contracts

1 similar Subscription Agreement contracts

SUBSCRIPTION AGREEMENT
Subscription Agreement • January 27th, 2023

TO: the “Issuer” AT: the “Registered Office” OFFERED SECURITIES Security description the “Securities” Number of Securities all dollar amounts are inunless otherwise stated Price per Security $ Amount payable $ the “Subscription Amount” SUBSCRIBER INFORMATION Signatory name signatory name, or if filledout, entity name, being the “Subscriber” Subscriber is a/an: holder of of the Issuer’s ;insider of the Issuer: ; registrant: Entity name Title at entity Email address Phone number Address REGISTRATION INSTRUCTIONS Plan type & number If WPTC plan: □ WPTC, in trust forsignatory’s plan □ The Voting Trustee pursuant to the Registered Voting Trust Accession attached as "Schedule W" If no plan: □ Subscriber □ The Voting Trustee pursuant to the Voting Trust Accession attached as "Schedule V" See Section 3.1 of the Agreement for additional information (non-WPTC plans cannot be subject to a VTA) DELIVERY AND ACCEPTANCE THE PARTIES agree that the Subscriber

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