Subscription Agreement - Detailed

10.12[2] Subscription Agreement SUBSCRIPTION AGREEMENT FOR SHARES OF _____ STOCK OF ABC ISSUER This Subscription Agreement is made by and between ABC Issuer, a _____ corporation (the ""Company"") [,_____, a _____ corporation (the ""Placement Agent"")] and the undersigned prospective purchaser who is subscribing hereby for shares of the Company's [type of security] stock (the ""Shares""), pursuant to the Private Placement Memorandum of the Company dated _____ (the ""Memorandum,"" which term includes all exhibits and any amendments thereof and supplements thereto), distributed to a limited number of selected persons in connection with the offering of such Shares. In consideration of the Company's agreement to accept the undersigned as a securityholder of the Company upon the terms and conditions set forth herein and as further set forth in the Memorandum, the undersigned agrees and represents as follows: A. SUBSCRIPTION 1. The undersigned hereby subscribes to purchase Shares at $_____ per Share in the amount indicated on the signature page hereto. Simultaneously with the execution of this Subscription Agreement, the undersigned is paying and delivering to the Company the amount set forth on the signature page below, in the form of a check or wire transfer (the ""Payment"") payable to ""_____ Bank-ABC Issuer Escrow Account"" to be deposited with the _____ Bank (the ""Escrow Agent"").