TRUETRAKS, INCORPORATED
SUBSCRIPTION AGREEMENT
The undersigned hereby subscribes for the purchase of ____________ shares
of TrueTraks, Incorporated, a Delaware Corporation (the Company) at $6.50 per
share in the aggregate amount of $_________________.
The undersigned herewith submits the undersigned's check payable to
TrueTraks, Incorporated in full payment for such shares. INCLUDE CHECK PAYABLE
TO TRUETRAKS, INCORPORATED
Please print names in which shares are to be
registered _________________________
_________________________
Investors Residence Address and Social Security or _________________________
Tax Identification Number(s).( Must be completed for
registration purposes; no post office boxes please). _________________________
City ____________________
State & Zip _____________
Tax ID or SS No. ________
Tax ID or SS No. ________
Mailing Address to which notices and checks ________________________
Should be sent( if different from the Residence ________________________
Address) ________________________
City ___________________
State & Zip ____________
TELEPHONE Home: __________________
Business: ______________
Manner in which title is held (check one):
1. ________ Community Property
2. ________ Joint Tenants With Right of Survivorship
3. ________ Separate Property
4. ________ Individual Ownership
5. ________ Partnership
6. ________ Tenants in Common
7. ________ Corporation
8. ________ Other (Specify): _______________________________________
_______________________________________
__________________________________ _______________________________
Signature Date
