SUBSCRIPTION AGREEMENT
EXHIBIT 4.1
Naerodynmics, Inc.
000 X. Xx Xxxxxx Xxxx #X000
Xxx Xxxxxxxx, XX 00000
The undersigned has received the prospectus dated______, 2017 (“Prospectus”), and hereby subscribes for shares of $.0001 par value common stock of Naerodynamics, Inc., a Colorado corporation (“Company”), for a subscription price of $___per share (“Offered Shares”). The undersigned hereby agrees that this subscription shall be irrevocable and shall survive the death or disability of the undersigned. Payment of the purchase price for the Offered Shares is due upon subscription.
The undersigned acknowledges that (i) the Company has the right to accept or reject this subscription in whole or in part, (ii) this subscription shall be deemed to be accepted by the Company only when the Company signs this Subscription Agreement; and (iii) the undersigned has relied only on that information specified in the Prospectus.
Number of Offered Shares: ____. Subscription Amount: _________(number of Offered Shares multiplied by $______)
Send wires to or make checks payable to: “Naerodynamics, Inc.”
(wire instructions will forward to you upon the acceptance of your subscription agreement by the Company.
Please print name(s) or title, residence address, and SSN or Tax ID for which the Offered Shares are to be registered. Please notify the Company in writing if your address changes before you either receive your shares or are notified that your subscription has not been accepted.
Name_____________________________
Street ____________________________
City____________________ State________________ Zip Code_______________
SSN or Tax ID No. (For joint ownership, both parties must provide a Social Security Number or similar tax identification)
Indicate type of ownership:
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Individual Ownership |
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Joint Tenants with Right of Survivorship |
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Community Property |
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Tenants in Common |
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Tenants by the Entirety |
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Corporate Ownership |
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Partnership Ownership |
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Custodian for a Minor |
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Trust (see below) |
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XXX or Pension Plan |
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Date Trust Established: ________________________________
Name of Trustee or other Administrator ____________________
Each subscriber represents that:
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(a) |
The information contained herein is complete and accurate and may be relied upon, and |
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(b) |
The undersigned will notify the Company immediately of any material change in any such information occurring prior to the acceptance of the undersigned’s subscription, including any changes in address or other contact information. |
IN WITNESS WHEREOF, the undersigned has executed this Subscription Agreement as of this ____________day of________2017.
FOR INDIVIDUALS:
Print Name
Signature
NAME AND SIGNATURE OF JOINT TENANT OR TENANT IN COMMON
Print Name
Signature
FOR TRUSTS, CORPORATIONS, PARTNERSHIPS
Print Name of Entity
By:
Print name and capacity (Trustee, President or General Partner) of person making investment decision
Signature
Agreed to and accepted:
By: Naerodynamics, Inc., a Colorado corporation
By: Xxxx Xxxxx
Its: President
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