EX-10 15 ex_10-36.txt EXHIBIT 10.36 QUIKCAT AUSTRALIA PTY LTD SERIES B SUBSCRIPTION FORM Please fill in the form below and attach your cheque made out to "London Wall Investments Pty Ltd" which is acting as Trustee for settlement of this Series B issue. ________________________________________________________________________________ ALL SUBSCRIPTION MONIES MUST BE IN OR CONVERTED TO AUSTRALIAN DOLLARS. CHEQUES MUST BE IN AUSTRALIAN DOLLARS AND DRAWN ON AN AUSTRALIAN BANK ________________________________________________________________________________ The Directors QuikCAT Australia Pty Ltd 3/56 Mount Street West Perth WA 6005 Australia Dear Sirs Please find attached my cheque completed subscription form for shares in QuikCAT Australia Pty Ltd ACN 106 946 043. ________________________________________________________________________________ Number of shares subscribed for (at US$1.00 per share) 50,000 Subscription amount US$50,000 ________________________________________________________________________________ The Shares should be registered as follows: ________________________________________________________________________________ Full Name of Applicant IA Global Inc Address Suite 400, 533 Airport Boulevard, Burlingame, CA 94010, United States Contact details Phone [1] 650-685-2402 Fax [1] 650-685-2404 e-mail scott@iaglobalinc.com ________________________________________________________________________________ By lodging this form, I/We declare that this application is complete and accurate, that I/We hereby consent to be a shareholder of QuikCAT Australia Pty Ltd and that I/We agree to be bound by the Constitution of QuikCAT Australia Pty Ltd. THIS FORM DOES NOT NEED TO BE SIGNED. If you wish to make electronic payment, please instruct your bank to send funds to: Commonwealth Bank Canning Bridge, WA Branch Please ensure that your application form is FAXED to Mark Jenkins on +61 8 9481 8449 and an original POSTED