Page 39 - Listing Partners Pre Listing Offering
P. 39
SUBSCRIPTION AGREEMENT (Canadian and Non-U.S. Subscribers Only)
TO: KVANTO PAYMENT SERVICES LTD. (the “Corporation”)
The undersigned (the “Subscriber”), on its own behalf, and, if applicable, on behalf of those for whom the undersigned is contracting hereunder as trustee or agent, hereby irrevocably subscribes for and agrees to purchase from the Corporation, in accordance with the terms and conditions of this Subscription Agreement, that number of common shares of the Corporation (the “Common Shares”) set out below, representing a subscription price of $0.16 USD per Common Share (the “Purchase Price per Common Share”). The Common Shares subscribed for herein are part of an offering by the Corporation of up to 19,000,000 Common Shares for aggregate subscription proceeds of up to $3,040,000. The Subscriber agrees to be bound by the terms and conditions set forth herein including without limitation the Subscriber’s representations, warranties and covenants set forth therein.
SUBSCRIPTION AND SUBSCRIBER INFORMATION
Please print all information (other than signatures), as applicable, in the space provided below
(Name of Subscriber)
By: _________________________________________________ Authorized Signature
(Official Capacity or Title – if the Subscriber is not an individual)
(Name of individual whose signature appears above if different than the name of the subscriber printed above.)
(Subscriber’s Address, including Province & Postal Code)
Please complete if purchasing as agent or trustee for each principal (beneficial purchaser) (a “Disclosed Principal”) and is not purchasing as trustee or agent for accounts fully managed by it.
(Name of Disclosed Principal) Account reference, if applicable
Address of Disclosed Principal Telephone Number of Disclosed Principal
Account Registration Information:
(Name)
(Account reference, if applicable)
(Address, including Postal Code)
Delivery Instructions as set forth below:
_____________________________________________________
(Name)
(Account reference, if applicable) (Address)
(Contact Name)
(Telephone Number)
Number of Common Shares :
(Email Address)
x $ 0.16
Aggregate Subscription Price:_____________________________
(the “Subscription Price”) (i) an “insider” of the Corporation:
yes no (check appropriate box)
(ii) a “registrant” under applicable Canadian securities law: yes no (check appropriate box)
The Subscriber is: