SUBSCRIPTION AGREEMENT
Exhibit 99.1
Design Source, Inc.
c/o Nevada Corporate Headquarters
000 Xxxxxxxxxx Xxxxxx Xxxxx
Xxxxx 000
Xxx Xxxxx, Xxxxxx 00000
Dear Sirs:
Concurrent with execution of this Agreement, the undersigned (the "Purchaser" ) is purchasing __________________________________________________ (__________) shares of Common Stock of DESIGN SOURCE, INC. (the "Company") at a price of $0.10 per share (the "Subscription Price").
Purchaser hereby confirms the subscription for and purchase of said number of shares and hereby agrees to pay herewith the Subscription Price for such Shares.
Purchaser further confirms that Xx. Xxxxx Xxxxxxxx solicited him/her/it to purchase the shares of Common Stock of the Company and no other person participated in such solicitation other than Xx. Xxxxxxxx.
MAKE CHECK PAYABLE TO: DESIGN SOURCE, INC.
Executed this _____ day of ___________________, 200__.
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Signature of Purchaser |
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Address of Purchaser |
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Printed Name of Purchaser |
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PLEASE ENSURE FUNDS ARE IN US DOLLARS
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X $0.10 |
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US$ |
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Number of Shares Purchased |
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Total Subscription Price |
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Form of Payment: |
Cash:___________ |
Check #: _____________ |
Other: _________________ |
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By: |
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Title: |
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