SHARE PURCHASE AGREEMENT
To ZAP Power Systems, 000 Xxxxxx Xxxxxx, Xxxxxxxxxx, Xxxxxxxxxx 00000:
I have received and had an opportunity to read the Prospectus by which the
shares are offered. I represent that I am purchasing for investment.
Signature:_________________________________ ____________________________
Date
Enclosed is payment for _____ shares, at $6.00 per share, totaling $___________.
Name(s):_____________________________________ Number of shares ______________
as (check one): Individual _____ Joint Tenants _____ Trust ______
Tenants in Common ____ Corporation _____ Other ______
For the person(s) who will be registered shareowner(s):
Mailing Address: ____________________________________________________________
City, State & Zip Code: _____________________________________________________
Telephone Number: Business ( )______________ Home: ( )______________
Social Security or Taxpayer ID Number: _________________________________________
(Please attach any special mailing instructions other than shown above)
NO SHARE PURCHASE AGREEMENT IS EFFECTIVE UNTIL ACCEPTANCE
(You will be mailed a signed copy of this agreement to retain for your records.)
Subscription accepted by ZAP Power Systems:
_____________________________________ _________________________
Xxxxx XxXxxxx, President Date
