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Subscription Agreement – Document Builder 👷‍♂️

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– Step 1 of 10

🌍 Jurisdiction & Basics

Country, language, governing law, and offering basics.

Country *

Language of the completed document *

Governing State/Province (if applicable) *

Offering/Company Name *

Agreement Date *

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👥 Parties

Issuer/Seller and Subscriber/Investor details.

Issuer

Issuer (Company) Legal Name *

Issuer Address *

Issuer Contact Email *

Subscriber

Subscriber Type *

Subscriber Legal Name *

Subscriber Address *

Subscriber Email *

Subscriber ID / Company Number (optional)

Entity Representative (if entity)

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🧾 Securities & Subscription

Type of security, amount, and purchase details.

Security Type *

Number of Units/Shares (if applicable)

Price per Unit/Share (currency)

Total Purchase Price (currency) *

Closing/Subscription Date (YYYY-MM-DD)

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⚙️ Special Terms by Security

Show only the fields relevant to the selected security type.

Note Interest Rate % (APR)

Maturity (months)

Valuation Cap (currency)

Discount %

SAFE Valuation Cap (currency)

SAFE Discount %

SAFE Type

Debt Interest Rate % (APR)

Debt Term (months)

Preferred Dividend Rate % (if any)

Liquidation Preference / Conversion Terms (if any)

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💰 Payment & Closing

Payment method, escrow, and closing logistics.

Payment Method *

Escrow Agent / Bank Details (if any)

Closing Mechanics (signing order, deliverables)

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🧩 Investor Status & KYC/AML

Accreditation, suitability, and compliance.

Accredited Investor? *

Suitability Acknowledgements *

Understands illiquidity / no market
Can bear loss of investment
Has reviewed risk factors/disclosures

KYC/AML Docs (ID, proof of address, entity docs)

Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.

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🛡️ Rights & Restrictions

Information rights, transfer limits, legends, pre‑emptive/ROFR.

Investor Rights (select any)

Information rights
Pro‑rata / pre‑emptive rights
Right of first refusal (ROFR)
Tag‑along / Co‑sale
No special rights

Transfer Restrictions / Legends *

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📜 Representations & Warranties

Issuer and subscriber representations.

Issuer Reps (select)

Duly organized and in good standing
Power and authority to issue securities
Valid issuance/authorization
No conflict with charter/agreements

Subscriber Reps (select)

Power and authority to subscribe
Investment for own account (not resale)
Understands speculative nature
Not relying on unauthorized representations

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⚠️ Risk, Notices & Law

Risk acknowledgment, notices, governing law, venue.

Risk Factors Acknowledged (summary/section ref.) *

Notice Addresses (formal notices) *

Venue / Courts / Arbitration Rules (if any)

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✍️ Signatures & Attachments

Acknowledgements, typed signatures, dates, and uploads.

Final Acknowledgements (must check all) *

Information provided is true and correct
I/we agree to the subscription terms stated
Electronic signatures valid where permitted

Issuer Signatory (type name) *

Issuer Sign Date *

Subscriber Signatory (type name) *

Subscriber Sign Date *

Save and Resume Later

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Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted.

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Email *

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