SUBSCRIPTION (Securities Purchase Agreement)
In consideration of the premises, and for other lawful and sufficient consideration, the receipt of which is hereby acknowledged, the undersigned hereby subscribe to and agree to purchase ______________ shares of _______________________ for cash at the price of ______________________________ Dollars per share. This subscription may be accepted by the corporation at any time prior to _________________ (date), and, after such acceptance, the subscription price hereunder shall be payable in full on demand by the corporation.
The undersigned hereby represents and agrees that he/she is a bona fide resident of the State of ______________________________; that he/she understands that the securities hereby subscribed will be issued without registration under the federal securities laws pursuant to an exemption from such laws; that he will not, for a period of nine months from the last sale by the corporation of the class of its securities hereby subscribed, sell or transfer or permit the sale or transfer of the securities hereby subscribed to a person other than a bona fide resident of the State of _______________; and that he agrees that the certificates issued to this subscription may be marked with a legend to such effect.
This the ________ day of _______________ (month), ____ (year)
__________________________________ (Secretary) Signature
Accepted this ________ day of _______________ (month), ____ (year)
By: _________________________________ (President)