SUBSCRIPTIONAGREEMENT ORBISCORPORATION

EX-10.4 2 ex10-4.htm EXHIBIT 10.4 Exhibit 10.4

 

SUBSCRIPTION AGREEMENT

 

ORBIS CORPORATION

 

A. Instructions.

 

Each person considering subscribing for shares of Orbis Corporation common stock (“Shares”) should review the following instructions:

 

Subscription Agreement: Please complete, execute and deliver to the Company this Subscription Agreement. The Company will review the materials and, if the subscription is accepted, the Company will execute the Subscription Agreement and return one copy of the materials to you for your records.

 

The Company shall have the right to accept or reject any subscription, in whole or in part.

 

An acknowledgment of the acceptance of your subscription will be returned to you promptly after acceptance.

 

Payment: Payment for the amount of the Shares subscribed for shall be made at the time of delivery of the properly executed Subscription Agreement, or such date as the Company shall specify by written notice to subscribers (unless such period is extended in the sole discretion of the Chief Executive Officer of the Company), of a check or wire transfer of immediately available funds to the Company at the address set forth below or an account specified by the Company. The closing of the transactions contemplated hereby (the “Closing”) will be held on 90 days from ___ __, 2015 or such earlier date specified in such notice (unless the closing date is extended in the sole discretion of the Chief Executive Officer of the Company by up to an additional 90 days). There is no minimum aggregate amount of Shares which must be sold as a condition precedent to the Closing, and the Company may provide for one or more Closings while continuing to offer the Shares that constitute the unsold portion of the Offering.

 

B. Communications.

 

All documents and check should be forwarded to:

 

ORBIS CORPORATION

100 Peffer Law Circle

Brampton, Ontario L6Y 0L6

Canada

 

THE PURCHASE OF SHARES OF ORBIS CORPORATION INVOLVES A HIGH DEGREE OF RISK AND SHOULD BE CONSIDERED ONLY BY PERSONS WHO CAN BEAR THE RISK OF THE LOSS OF THEIR ENTIRE INVESTMENT.

 

EVERY POTENTIAL INVESTOR PRIOR TO ANY INVESTMENT OR PURCHASE OF ORBIS CORPORATION’S SHARES SHOULD READ THE PROSPECTUS RELATING TO THIS OFFERING.

 

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SUBSCRIPTION AGREEMENT SIGNATURE PAGE

 

The undersigned (the “Subscriber”) hereby irrevocably subscribes for that number of Shares set forth below, upon and subject to the terms and conditions set forth in Orbis Corporation’s final prospectus that forms a part of the registration statement filed on Form S-1, as amended, and dated on or around ___ __, 2015.

 

Total Number of Shares to be Acquired: ____________________________

 

Amount to be Paid (price of $0.01 per Share): _________________________

 

IN WITNESS WHEREOF, the undersigned has executed this Subscription Agreement this ________ of __________________, 2015.

 

NAME: (PRINT) as it should appear on the Certificate: ______________________________________________________

 

ADDRESS: ______________________________________________________________________________________

 

If Joint Ownership, check one (all parties must sign above):

 

[  ] Joint Tenants with Right of Survivorship

 

[  ] Tenants in Common

 

[  ] Community Property

 

If Fiduciary or a Business or an Organization, check one:

 

[  ] Trust

 

[  ] Estate

 

[  ] Power of Attorney

 

Name and Type of Business Organization: _______________________________________________________________

 

IDENTIFICATION NUMBER REQUIRED:

 

You must provide either your:

 

Social Security # (if shares are being purchased by an individual) or

 

__________________________________________________

 

Tax ID # (if shares are being purchased by an entity)

 

__________________________________________________

 

SIGNATURE: _______________________________________

 

ACCEPTANCE OF SUBSCRIPTION

 

The foregoing Subscription is hereby accepted for and on behalf of ORBIS CORPORATION this _______ day of ____________________________, 2015.

 

By:    
  Manhor S. Bansal  
  Chief Executive Officer