0001014897-01-500024 Sample Contracts

Subscription Agreement
Subscription Agreement • May 16th, 2001 • Village Xii Acquisition Corp • Blank checks

Please issue shares of your common stock in the amounts and name(s)shown below. My signature acknowledges that I have read the Prospectus dated May 9, 2001, and am aware of the risk factors contained therein. I represent that I have relied solely upon the contents of the Prospectus in making an investment decision with regard to the shares offered thereby, and I have not relied on any other statements made by or with regard to the Company in connection with its anticipated operations or financial performance.

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