SUBSCRIPTION AGREEMENT
Exhibit 99.1
000 Xxxxxxxx Xxx.
Xxxxxxxx Xxx Xxxx 00000
Gentlemen:
The undersigned represents as set forth below and subscribes to purchase _______Shares at $0.25 per Share, for $_______________, provided that you accept this subscription. There is no minimum amount of shares that must be sold and proceeds may be utilized at the issuer's discretion. If any checks are delivered to any FINRA member, the member must promptly, by noon of the next business day, transmit all checks received to the issuer or any person entitled thereto. The undersigned, if an individual, is a resident of, or, if a corporation, partnership or trust, has as its principal place of business:
The State of New York_____
The State of Florida_____
The District of Columbia____ Other State _____________
A State foreign to U.S.A._____
Dated:______________
Signature:__________________________________________
If not an individual:
___________________________________ ___________________________
Name of Corporation, Trust, or Partnership Print or type name of Signer
________________________ ___________________________
State where incorporated, P.O. Box or Street Address
organized, or domiciled
___________________________
_________________________ City, State and Zip Code
Print Signer's Capacity
_________________________ _____________________________________
Tax ID Social Security Number
_________________________
Fax and Phone Numbers
