Attached files

file filename
EX-3 - EXHIBIT 3.2 - BY-LAWS - Oxamedia Corpoxamediafms1_ex3z2.htm
EX-23 - EXHIBIT 23.1 - CONSENT OF PR AUDITING, S.L.R. - Oxamedia Corpoxamediafms1_ex23z1.htm
EX-10 - EXHIBIT 10.1 - ACQUISITION AGREEMENT OF OXAMEDIA - Oxamedia Corpoxamediafms1_ex10z1.htm
S-1 - FORM S-1 REGISTRATION STATEMENT - Oxamedia Corpoxamedia_s1.htm
EX-3 - EXHIBIT 3.1 - RESTATED & AMENDED CERTIFICATE OF INCORPORATION - Oxamedia Corpoxamediafms1_ex3z1.htm

Exhibit 99.1


SUBSCRIPTION AGREEMENT


OXAMEDIA CORPORATION

 

The undersigned subscriber (the “Subscriber”) hereby irrevocably subscribes for that number of shares of common stock (the “Shares”) of Oxamedia Corporation, a Delaware corporation (the “Company”), set forth below, upon and subject to the terms and conditions set forth in the Company’s Prospectus dated ___________, 20___, contained within the Company’s Form S-1 Registration Statement relating thereto filed with the United States Securities and Exchange Commission, to which this Subscription Agreement is attached.


Subscriber is a bona fide resident of the State of ____________ or the Country of ___________ (if Subscriber is non-US resident).

 

Total number of shares subscribed for at US $0.50 per share:  ________________ shares.

 

Amount paid with this Subscription Agreement at a price of US $0.50 per Share: US $__________________.


This Subscription Agreement constitutes the entire agreement among the parties hereto with respect to the subject matter hereof and may be amended only by a writing executed by all parties.


IN WITNESS WHEREOF, the undersigned has executed this Subscription Agreement this _____ day of ________________, 2011.


Name of Entity (for Subscribers that are entities only):_________________________________

 

Signature: _____________________________________________________________________

 

Print Name:  ___________________________________________________________________

 

Print Title (for Subscribers that are entities only):  _____________________________________

 

Address:  _____________________________________________________________________

 

Telephone No.:  ________________________________________________________________

 

E-mail Address: ______________________________________________________________

 

Subscriber’s US Social Security Number; Federal Employer Identification Number or

Identification Number of home jurisdiction:   _______________________________________

 

Signature of Co-owners, if applicable:  ____________________________________________






 

Name as it should appear on the Certificate: ________________________________________

 

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

 

[  ] Joint Tenants with Right of Survivorship

 

[  ] Tenants in Common

 

[  ] Community Property


If a Fiduciary or a Business Entity check one:

 

[  ] Trust -Authorized Person: _______________________

Capacity: _______________

[  ] Estate -Authorized Person: _______________________

Capacity: _______________

[  ] Corporation -Authorized Person: __________________

Capacity: _______________

[  ] Limited Liability Company
    Authorized Person: _________________________

Capacity: _______________

[  ] Partnership -Authorized Person: __________________

Capacity: _______________

[  ] Other: ____________________ (Describe)
    Authorized Person: _________________________

Capacity: _______________


PAYMENT BY CHECK OR MONEY ORDER INSTRUCTIONS

If Subscriber wishes to pay the purchase price of his or her Shares by check, all checks or money orders shall be made payable to:  Oxamedia Corporation, 55 S.E. 2nd Ave., Delray Beach, Florida 33444, Tel. (561) 921-1094.

WIRE TRANSFER INSTRUCTIONS

If Subscriber wishes to wire transfer the purchase price of the Shares, wire transfer available funds in the amount of the purchase price subscribed for hereunder, as follows: 

Bank:________________________________________________________________________

Account Name: ________________________________________________________________

Account No.: __________________________________________________________________

ABA Routing No.: _____________________________________________________________

SWIFT code: __________________________________________________________________

Bank Address: _______________________________________________________________





ACCEPTANCE OF SUBSCRIPTION

 

The foregoing Subscription is hereby accepted for and on behalf of Oxamedia Corporation this _____day of _____________, 2011.

 

OXAMEDIA CORPORATION

 

 

 

By: _______________________________________

      Name:  ______________

      Title: _______________