0001144204-05-039238 Sample Contracts

SUBSCRIPTION AGREEMENT
Subscription Agreement • December 9th, 2005 • Netsmart Technologies Inc • Services-computer processing & data preparation • New York

THIS SUBSCRIPTION AGREEMENT (this “Agreement”) made as of the date set forth on the signature page hereof between Netsmart Technologies, Inc., a Delaware corporation, having its principal office at 3500 Sunrise Highway, Suite D122, Great River, NY 11739 (the “Company”), and the undersigned (the “Subscriber”).

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