EXHIBIT 99.1
SUBSCRIPTION AGREEMENT
Bactrol Technologies, Inc.
0000 Xxxxx 00xx Xxxxxx, Xxxxx 000
Xxxxxxxxx, Xxxxxxx 00000
Dear Sirs:
Concurrent with execution of this Agreement, the undersigned (the
"Purchaser") is purchasing ___________________ shares of Common Stock of Bactrol
Technologies, Inc. (the "Company") at a price of $1.00 per Share (the
"Subscription Price").
Purchaser hereby confirms the subscription for a purchase of said number of
Shares and hereby agrees to pay herewith the Subscription Price for such Shares.
MAKE CHECK PAYABLE TO: BACTROL TECHNOLOGIES, INC.
Executed this _____ day of ______________, 200___, at _____________________
___________________________ (Street Address), __________________________ (City),
_____________________ (State) ______________ (Zip Code).
________________________________
Signature of Purchaser
________________________________
Printed Name of Purchaser
________________________________
Social Security Number/ Tax I.D.
Number of Shares Purchased Total Subscription Price
_____________________________ __________________________
Form of Payment: Cash ______________
Check# ______________
Other ______________
ACCEPTED THIS _____ DAY OF ___________________, 200___.
BACTROL TECHNOLOGIES, INC.
BY: ______________________
Title: _______________
