0001071411-09-000088 Sample Contracts

FORM OF SUBSCRIPTION AGREEMENT
Subscription Agreement • September 25th, 2009 • Fusion Telecommunications International Inc • Telephone communications (no radiotelephone) • New York

THE SECURITIES OFFERED HEREBY HAVE NOT BEEN APPROVED BY THE UNITED STATES SECURITIES AND EXCHANGE COMMISSION (THE “COMMISSION”), OR ANY STATE SECURITY AUTHORITY. ANY REPRESENTATION TO THE CONTRARY IS UNLAWFUL.

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