Common use of Number of Shares Subscribed For Clause in Contracts

Number of Shares Subscribed For. Aggregate purchase price (number of Shares x $8.00): $__________ Amount of wire transfer: $__________ NAME(S) IN WHICH SHARES ARE TO BE REGISTERED: -------------------------------------------------------------------- 49 Address to which Stock Certificates should be delivered: ----------------------------- ----------------------------- -----------------------------

Number of Shares Subscribed For. Aggregate purchase price (number of Shares shares x $8.00): 2.00-- minimum purchase 50,000 shares for $__________ Amount of wire transfer: $__________ NAME(S100,000).........$ ---------- Name(s) IN WHICH SHARES ARE TO BE REGISTEREDin which Shares are to be registered: -------------------------------------------------------------------- 49 Address to which Stock Certificates should be delivered: ----------------------------- ----------------------------- -------------------------------------------------------------------------------------------------

Number of Shares Subscribed For. Aggregate purchase price (number of Shares x $8.00): $__________ Amount of wire transfer: $__________ NAME(S) IN WHICH SHARES ARE TO BE REGISTERED: -------------------------------------------------------------------- 49 Address to which Stock Certificates should be delivered: ----------------------------- ----------------------------- -----------------------------

Number of Shares Subscribed For. Aggregate purchase price (number of Shares shares x $8.00): 2.00-- minimum purchase 50,000 shares for $__________ Amount of wire transfer: $__________ NAME(S100,000).....$ -------------- Name(s) IN WHICH SHARES ARE TO BE REGISTEREDin which Shares are to be registered: -------------------------------------------------------------------- 49 Address to which Stock Certificates should be delivered: ----------------------------- ----------------------------- -------------------------------------------------------------------------------------------------

Number of Shares Subscribed For. Aggregate purchase price (number of Shares x $8.00): $__________ $ ---------- Amount of wire transfer: $__________ $ ---------- NAME(S) IN WHICH SHARES ARE TO BE REGISTERED: -------------------------------------------------------------------- 49 ------------------------------------------------------------------------------------------ Address to which Stock Certificates should be delivered: ----------------------------- ----------------------------- -------------------------------------------------------------------- --------------------------------------- ---------------------------------------

Number of Shares Subscribed For. Aggregate purchase price (number of Shares x $8.00): $__________ Amount of wire transfer: $__________ NAME(S) IN WHICH SHARES ARE TO BE REGISTERED: -------------------------------------------------------------------- 49 Address to which Stock Certificates should be delivered: ----------------------------- ----------------------------- ----------------------------- ----------------------------- -----------------------------

Number of Shares Subscribed For. Aggregate purchase price (number of Shares x $8.00): $__________ Amount of wire transfer: $__________ NAME(S) IN WHICH SHARES ARE TO BE REGISTERED: -------------------------------------------------------------------- 49 Address to which Stock Certificates should be delivered: ----------------------------- ----------------------------- --------------------------------------------------------- ---------------------------- ----------------------------