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________
________
Email: ________
To:
The Directors
________ (ACN ________)
________
Date:....................................
SHARE SUBSCRIPTION LETTER
To whom it may concern:
________ (the "Investor") hereby applies for the allotment to the Investor of ________ (________) ________ shares (the "Shares") in the capital of ________ (the "Company") at the price of $________ (________) per Share, subject to the constitution of the Company.
The details of this subscription ("Subscription") are as follows:
Name of subscriber: ________
Date of subscription:....................................
Share class: ________
Amount per Share: $________ (________) per Share
Total amount due: $________ (________)
The Subscription is subject to the following terms and conditions:
________
The Investor confirms that they will pay the Company by no later than ________ the sum of $________ (________) by electronic funds transfer.
The Investor hereby requests that the Investor's name be entered in the Company's share register as a holder of the Shares, and that the Investor be provided with a share certificate confirming that the Investor is the holder of the Shares in accordance with this Share Subscription Letter.
Signed for and on behalf of the Investor, ________:
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