Investor Subscription Agreement for International Commerce Development Corp.
Investor Subscription Agreement for International Commerce Development Corp.
Persons interested in purchasing shares of common stock ($0.001 par value) of International Commerce Development Corp. must complete and return this Subscription Agreement along with their check or money order to International Commerce Development Corp. 00 Xxxxxx Xxxxxx, Xxxxxxxxx, Xxxxxxxxxxx 00000.
If and when accepted by International Commerce Development Corp., a Delaware corporation (the "Company"), this Subscription Agreement shall constitute a subscription for shares of the Company. The minimum investment is $250,000.00 (500,000 Shares). The maximum investment, subject to waiver by the Company, is $1,000,000 (2,000,000 Shares).
An accepted copy of this Agreement will be returned to you as your receipt, and a stock certificate will be issued to you shortly there after. Method of Payment: Check, Money Order or Wire Transfer payable to "International Commerce Development Corp. - Account Number 1177005428”. Wire Transfer Instructions: Peoples Bank, Bridgeport, CT , ABA Number 000000000, Account Number 1177005428.
________________________________________________________________________________________
I hereby irrevocably tender this Subscription Agreement for the purchase of _______ Shares at $ 1.00 per Share. With this Subscription Agreement, I tender payment in the amount of $_________ ($1.00 per Share) for the Shares subscribed.
In connection with this investment in the Company, I represent and warrant as follows:
.
I am a bona fide resident of ___________________.
Please register the Shares which I am purchasing as follows:
1.
Individual(s) -- if more than one owner, please issue as follows
q
Tenants-in-Common (all parties must sign -- each investor has an undivided interest)
q
Joint Tenants with Rights of Survivorship (all parties must sign -- joint ownership)
q
Minor with adult custodian under the Uniform Gift to Minors Act in your state
(minor will have sole beneficial ownership)
Investor Xx. 0 (xxxxx xxxx xxxxx)
Xxxxxx (xxxxxxxxx address)
City
State
Zip
Home Phone
Social Security Number
Date of Birth
Signature
Date
Investor No. 2 (print name above)
Street (residence address)
City
State
Zip
Home Phone
Social Security Number
Date of Birth
Signature
Date
2.
Entity
q
Corporation (authorized agent of corporation must sign)
q
Existing Partnership (at least one partner must sign)
Name of Corporation or Partnership
Street (business address)
City
State
Zip
Authorized Agent (print name above)
Title of Authorized Agent
Federal Tax I.D. Number
Business Phone
The undersigned acknowledges under penalties of perjury that the foregoing information is true, accurate and complete.
Signature of Authorized Agent
Date
3.
Trust
q
Trust (all trustees must sign)
Trustee (print name above)
Street Address
City
State
Zip
Trust (print name above)
Date of Trust Agreement
Social Security or Federal Identification Number
Phone Number
The undersigned acknowledges under penalties of perjury that the foregoing information is true, accurate and complete.
Signature
Date
Signature
Date
ACCEPTED BY: International Commerce Development Corp.
By: Date:
