Form of Subscription AgreementForm of Subscription Agreement • May 3rd, 2004 • Drugmax Inc • Wholesale-drugs, proprietaries & druggists' sundries • Florida
Contract Type FiledMay 3rd, 2004 Company Industry JurisdictionSUBSCRIPTION AGREEMENT (this “Agreement”) made as of the date set forth on the signature page hereof between DrugMax, Inc., a Nevada corporation having a place of business at 25400 U.S. Highway 19 North, Suite 137, Clearwater, Florida 33763 (the “Company”) and the undersigned (the “Subscriber”).