Please sign to confirm acceptance of admission. I have read and agree to both the Membership Agreement and Warrant Agreement.
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ORDER FORM NO. [Order-ID]
This Order Form No. [Order-ID] (“ Order Form ”) is made effective as of [Order-Date] (“ Order Form Effective Date ”) by and between Astralabs Inc. (“ Accelerator ”) and the client identified below (“ Member ”), and is entered into under and forms part of the Newchip Accelerator Master Membership Agreement between Accelerator and Member dated [Order-Date] (“ Agreement ”). If there is any conflict between the terms set forth on this Order Form and any other terms of the Agreement, the terms of this Order Form will prevail and will amend and supersede the conflicting terms of the Agreement. Capitalized terms not defined in this Order Form have the meanings given in the Agreement.
Member
[Company-Name]
Member Information
Address
[Company-Address]
Representative Name
Phone #
Email Address
[Representative-Name]
[Representative-Phone]
[Representative-Email]
Term
This Order Form commences on the Order Form Effective Date and continues in effect for the Program Period.
Services
Accelerator agrees to arrange [up to] fifteen (15) Meetings (as defined below).
“ Meeting(s) ” shall mean a meeting or strategic introduction with a potential investor that is the result of the scheduling, communications, and other efforts of the Accelerator. In the case where a Meeting results in the attendance of multiple potential investors, the parties agree that each potential investor (up to a maximum of seven (7)) shall constitute a unique Meeting for the purposes of this definition.
Member is required to attend all Meetings arranged by the Accelerator; provided however, that within ten (10) days following the applicable Meeting, Member may email [email protected] to receive access to the investor quality assurance submissions form to submit a request for a replacement Meeting. Accelerator, in its sole discretion, may approve a request for replacement Meeting for the following reasons only: (1) the investor does not invest in Member’s geography or industry; (2) the investor is not an active investor (e.g., has not made active investments in the preceding twelve (12) months); or (3) the investor did not show up to the Meeting and did not respond to reschedule.
Fees
Member shall pay Accelerator fees of $150 per Meeting. All amounts payable to Accelerator under this Order Form will be due prepaid and in advance.
Additional Terms
For clarity, and notwithstanding anything to the contrary in Section 6 of the Agreement, the parties agree the Accelerator Guarantee does not apply to these additional Services provided pursuant to this Order Form.
Additional Disclaimers
THE MEMBER UNDERSTANDS THAT POTENTIAL INVESTORS RELY ON THEIR OWN EXAMINATION OF THE MEMBER AND THE TERMS OF A PROPOSED OFFERING, INCLUDING THE MERITS AND RISKS INVOLVED WHEN MAKING AN INVESTMENT DECISION. ACCELERATOR DOES NOT REPRESENT MEMBER OR ANY OTHER PARTY IN SALES OR TRANSACTIONS OF SECURITIES AND ONLY PROVIDES INTRODUCTIONS. THIS ORDER FORM DOES NOT INCLUDE ANY ASSURANCE OF AN INVESTMENT. THE ACCELERATOR IS NEITHER A REGISTERED BROKER-DEALER, FINDER, OR INVESTMENT ADVISOR; NOR IS IT A REGISTERED FUNDING PORTAL. NOR ARE THE ACCELERATOR, ITS STAFF, OR CONTRACTORS COMPENSATED ON A SUCCESS BASIS IN REGARD TO THIS ORDER FORM OR OTHER AGREEMENTS.
This Order Form is signed by duly authorized representatives of the parties and is effective as of the Order Form Effective Date.
ASTRALABS INC.
Signature: [Newchip-Ryan-Signature]
Print Name: [Newchip-Ryan-Name]
Print Title: Chief Executive Officer
Date: [Order-Date]
MEMBER
Signature: [Representative-Signature]
Print Name: [Representative-Name]
Print Title: Member Representative
Date: [Order-Date]
Your Signature
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