Exhibit 99.1
MARIKA, INC.
SUBSCRIPTION AGREEMENT
1. SUBSCRIPTION:
(a) The undersigned subscribes for _______ shares of Common Stock of
Marika Inc., at $0.02 per share.
(b) Total subscription price ($0.02 multiplied by the number of shares): =
$_____________.
2. SUBSCRIBER INFORMATION:
____________________________ ___________________________________
Name (type or print) Social Security or similar taxpayer
identification number
____________________________ ___________________________________
Name (type or print) Social Security or similar taxpayer
identification number
Mailing Address:
Street _____________________________________________________
City ________________ State (or similar jurisdiction) ______
Zip (or similar mail) code __________
3. TYPE OF OWNERSHIP: (You must check one box)
a.[ ] Individual f.[ ] Joint Tenants with Rights of Survivorship
b.[ ] Tenants in Common g.[ ] Custodian for ___________________________
c.[ ] Community Property h.[ ] Uniform Gifts to Minors Act of the State
of ______________________________________
d.[ ] Partnership i.[ ] Corporation _____________________________
e.[ ] Trust j.[ ] Other (explain) _________________________
4. RECEIPT OF DISCLUSRE DOCUMENT:
By executing this Subscription Agreement, the undersigned acknowledges
receipt of the Company's Prospectus dated ______________ (the "Prospectus"), as
supplemented to the date of this Subscription Agreement, in which the terms and
conditions of the offering of Common Stock of Marika Inc. and the risks
associated therewith are described.
5. TERMINATION OF THE OFFERING:
The undersigned understands and agrees that Marika Inc. may terminate the
offering at any time and for any reason. If the offering is so terminated and
Marika Inc. hold funds of the undersigned for a subscription that has not been
accepted by an authorized representative of Marika Inc., together with the
unaccepted Subscription Agreement, then, in that event, those funds so held
shall be returned to the undersigned without any interest earned thereon.
6. REPRESENTATION AND WARRANTS OF SUBSCRIBER:
By executing this Subscription Agreement, the undersigned represents and
warrants to the Company that:
(a) The undersigned is purchasing the Common Stock for the undersigned's
own account or is purchasing the Common Stock for the account or
benefit of a member or members of the undersigned's immediate family
or in a fiduciary capacity for the account of another person or entity
and not purchasing as an agent for another person or entity.
Furthermore, if the undersigned is purchasing for the account of
another person or entity, the undersigned has full and complete
authority to execute this Subscription Agreement in such capacity and
on behalf of such person or entity.
(b) The undersigned is 18 years of age or older (You must check box)
[ ] Yes [ ] No
7. TERMINATION OF THE OFFERING:
The undersigned hereby confirms the undersigned's understanding that Marika
Inc. has the full right to accept or reject this subscription; provided,
however, that Marika Inc. must accept or reject this subscription no later than
the date of termination of the offering set forth in the Prospectus.
Please make a copy of your completed Subscription Agreement
Signature:
Executed this _____ day of _______________________, 20___ at,
________________________________________________________________________________
Address
________________________________________________________________________________
City State (or similar jurisdiction) Zip (or similar mail)
code
X__________________________________ X ___________________________________
Signature Signature
MAKE CHECK PAYABLE TO "MARIKA INC."
SEND SUBSCRIPTION AGREEMENT AND CHECK TO:
Marika Inc.
0000 Xxxxxxxxx Xxxxxx, Xxxxx 000
Xxxxxxxxx, Xxxxxx 00000
Accepted for Marika Inc.
By: _______________________________
Aleksandrs Sviks,
Chief Executive Officer
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