Please print this form, fill it out completely and then mail or fax it to Empyrean Ventures at +1 347 626 2428 (US fax) or +44 870 132 1737 (UK fax)
Date ___________
If you wish to obtain financing, please indicate here your selected financing term: _________________
I (we), the undersigned, reserve 1/13 Ownership in Paraiso Da Taiba Villa I sea house resort community on Taiba Beach for a guaranteed price of $16,786 USD.
I (we), the undersigned, reserve 1/26 Ownership in Paraiso Da Taiba Villa I sea house resort community on Taiba Beach for a guaranteed price of $9,986 USD.
I (we), the undersigned, reserve one week Ownership in Paraiso Da Taiba Villa I sea house resort community on Taiba Beach for a guaranteed price of $5,986 USD.
Upon receipt of this purchase offer and a refundable deposit of $2,000 USD ($1,000 USD for 1/26 and 1/52 share options) by Empyrean Ventures LTD., I will be sent a confirmation and a purchase contract. A period of 30 days from the date of the present agreement will be allowed to finalize this offer with the purchase contract. If after this thirty-day period I have not finalized the purchase contract, EMPYREAN VENTURES will refund my deposit in full and this agreement will become null and void.
NAME OF BUYER ______________________ SIGNATURE ______________________
NAME OF BUYER ______________________ SIGNATURE ______________________
ADDRESS
______________________________________________________________
TEL. (HOME) _____________ (WORK) _____________
FAX (IF AVAILABLE) ____________________________
E-MAIL _____________________________
APPROVED BY EMPYREAN VENTURES LTD.: __________________ DATE ___________
NOTE: THE DEPOSIT MUST BE A WIRE TRANSFER IN US DOLLARS PAYABLE TO EMPYREAN VENTURES LTD.
SIGNATURE __________________________________
RETURN TO: EMPYREAN VENTURES LTD.
5 EAST AVE, SUITE 1H, LARCHMONT
NY, USA 10538
+1 347 626 2428 (US fax) or +44 870 132 1737 (UK fax)
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