EXHIBIT (4)
SUBSCRIPTION AGREEMENT
To: SearchHelp, Inc.
The undersigned, (print name(s)) hereby
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acknowledges receipt of the prospectus, dated [ ], of SearchHelp,
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Inc. (the "Company") and subscribes for the following number of units, each
consisting of one (1) share of common stock of the Company, one (1) warrant to
purchase one (1) share of common stock of the Company at a purchase price of
$.75 per share, and one (1) warrant to purchase one (1) share of common stock of
the Company at a purchase price of $1.75 per share ("Unit"); of the Company upon
the terms and conditions set forth therein:
Number of Units: All Subscriptions are subject to
---------------- acceptance by the Company, to
availability, and to certain other
conditions, and any subscription
Price Per Unit: $.50 may be declined in whole or in
monies without interest.
Payment Enclosed $
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(a minimum investment requirement of $2,500
or 5,000 units)
Payment Instructions:
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PAYMENT BY WIRE
(If wiring funds, please give this page to your bank)
Your bank should wire transfer only U.S. dollars via Fedwire to:
HSBC Bank
00 Xxxxxx Xxxxxx
Xxxxxx Xxx, XX 00000
ABA #000000000
Account #945703180
IMPORTANT:
1) PLEASE HAVE YOUR BANK IDENTIFY ON THE WIRE TRANSFER THE NAME OF THE INTENDED
INVESTOR.
2) WE RECOMMEND THAT YOUR BANK CHARGE ITS WIRING FEES SEPARATELY SO THAT AN EVEN
AMOUNT MAY BE INVESTED.
PAYMENT BY CHECK
If payment is in check form, it must be in` U.S. dollars made payable to
"SearchHelp, Inc. Escrow Account" and sent to: HSBC Bank, 00 Xxxxxx Xxxxxx,
Xxxxxx Xxx, XX 00000.
THIS PAGE FOR CALIFORNIA AND OREGON RESIDENTS ONLY.
IF YOU ARE NOT A CALIFORNIA OR OREGON RESIDENT PROCEED TO THE NEXT PAGE.
Suitability Representations of California and Oregon Resident Investors
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All California and Oregon residents must complete the following information. If
you do not initial either box (1) or (2) and (3), you are not a suitable
investor.
* (1) The investor hereby certifies that he/she is a suitable
--------- investor because he/she has an individual liquid net worth of
(Initial) not less than $75,000 and a gross annual income of not less
than $50,000. (For purposes of this questionnaire, the meaning
of "liquid net worth" shall exclude, home, home furnishings
and automobiles.)
--------- * (2) The investor hereby certifies that he/she is a suitable
(Initial) investor because he/she has an individual liquid net worth of
$150,000. (For purposes of this questionnaire, the meaning of
"liquid net worth" shall exclude, home, home furnishings and
automobiles.)
*
--------- * (3) The investor hereby certifies that the amount he/she is
(Initial) investing in the Company does not exceed 10% of the investor's
net worth
Date: , 2002 Accepted by Company:
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(Signature of Subscriber) (Signature of Authorized Officer/Title)
for Shares
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(Signature of Subscriber)
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(Social Security or Tax I.D.)
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(Social Security or Tax I.D.)
The certificates for such stock are to be Check one if more than one owner:
issued as follows:
---------------------------------- --- Joint tenants WRS
(Name(s))
---------------------------------- --- Tenants in Common
---------------------------------- --- Custodian under UGMA
(Address)
---------------------------------- Other:
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