EXHIBIT 99.1 SUBSCRIPTION AGREEMENT
MAC FILMWORKS, INC.
SUBSCRIPTION AGREEMENT
The Investor named below, by payment of a wire transfer or check payable
to MAC FILMWORKS, INC. - ESCROW ACCOUNT, hereby subscribes for units. Each
unit consists of consists of one share of common stock and seven redeemable
warrants, each to purchase one share of common stock of Mac Filmworks, Inc.
("Units"). By such payment, the named Investor acknowledges receipt of the
Prospectus and any amendment, the terms of which govern the investment in
the Units.
A. INVESTMENT:
(1) No. of Shares purchased ___________________ Dollar Amount: $________________
(2) [ ] Initial Purchase; or [ ] Additional Purchase
(3) [ ] Check Payment Enclosed: Number:______ Date ___/___/___; or
(4) [ ] Wire Transfer: Sending Bank:___________ Wire #:_______________
Date __/__/__ Bank Address:________________________________________
Phone Number:__________________
B. REGISTRATION:
(1) Registered Owner: [ ] Mr. [ ] Mrs. [ ] Ms. [ ] Dr. [ ] Other
Name:_______________________________________________________________
(2) Co-owner: [ ]Mr. [ ]Mrs. [ ]Ms. [ ]Dr. [ ]Other
Name:_______________________________________________________________
(3) Mailing Address:____________________________________________________
(4) Residence Address (if different from above):________________________
(5) Telephone #: (Home) (___)___-_____ (Office) (___)___-_____
(6) Email Address:________________________________________
(7) Birth Date:__/__/__ (8) Birth Date Co-Owner: __/__/__ .
(9) Please indicate Citizenship Status: [ ]U.S. Citizen [ ]Other
(10) Social Security or (National Identity) Number: _____________________
(11) Co-Owner: __________________________________________________________
Corporate or Custodial Taxpayer ID #: _______________________
C. OWNERSHIP: [ ] Individual Ownership [ ] XXX or Xxxxx
[ ] Joint Tenants with Rights of Survivorship
[ ] Trust/Date of Trust Established Pension/Trust ___/___/___ (S.E.P.)
[ ] Tenants in Common [ ]Tenants by the Entirety [ ]Corporate Ownership
[ ] Partnership [ ] Other _____________________________________________
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D. SIGNATURES:
Signatures - Registered Owner:__________________________Co-Owner:___________________
E. PRINT NAMES OF CUSTODIAN OR TRUSTEE:________________________________________________
Name:___________________________________________________________ Date:______________
Authorized Signature:_______________________________________________
Witness Signature:__________________________________________________
F. RETURN OF PAYMENT SHOULD BE SENT TO (IF DIFFERENT FROM REGISTERED OWNER):
Name: _________________________________________ c/o: _______________________________
Address: ___________________________________________________________________________
Account #___________________________________ Phone:(___)___-______
G. BENEFICIAL OWNER(S): All reports and financial statements will normally
be sent to the registered owner at the address in Section B. If reports and
financial statements are to be sent to the Beneficial Owner of an XXX or
Xxxxx, insert name of the Beneficial Owner.
Name of Beneficial Owner Only:_______________________________Phone:(___)___-______
Address: _________________________________________________________________________
H. BROKER-DEALER/REGISTERED REPRESENTATIVE DATA (broker-dealer use only):
Broker-Dealer NASD Firm Name:__________________________Telephone #:(___)___- _____
Main Office Address: _____________________________________________________________
Authorized Signature: _________________________________________Date:______________
Print or Type Name of
Registered Representative:________________________________________________________
Signature: ___________________________________________________Phone:(___)___-_____
Branch Office Address: ___________________________________________________________
SEND TO: One Financial Securities, Ltd. ACCEPTED: MAC FILMWORKS, INC.
Attn: Xx. Xxxxxx Xxxxx, President
0000 Xxxxxxxx Xxx., Xxxxx 000 By:________________________________
Xxxxxxx, XX 00000 Xxx XxXxxxxxxx, President
Phone (000) 000-0000
Fax (00) 000-0000 Date:____/____/____
AMENDMENT
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