SUBSCRIPTION AGREEMENT Louisiana Food Company The undersigned (the “Subscriber”) hereby subscribes for that number of shares of common stock (the “Shares”) of Louisiana Food Company, a Nevada corporation (the “Company”), set forth below, upon and...
EXHIBIT 99.1
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Louisiana Food Company
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The undersigned (the “Subscriber”) hereby subscribes for that number of shares of common stock
(the “Shares”) of Louisiana Food Company, a Nevada corporation (the “Company”), set forth
below, upon and subject to the terms and conditions set forth in the Company’s Prospectus dated
__________, 201__, to which this Subscription Agreement is attached and which the Subscriber
acknowledges as having received and read.
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Total number of shares subscribed at $0.30 per share:
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Amount paid with this Subscription Agreement at a price of
$0.30 per Share:
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This Subscription Agreement constitutes a binding agreement between Subscriber and the
Company and may be amended only by a writing executed by all parties.
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IN WITNESS WHEREOF, Subscriber has executed this Subscription Agreement this ___ day
of ______, 201__.
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Individual Subscriber(s)
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Entity Subscriber
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(Signature)
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(Entity Name)
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By:
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(Printed Name)
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Name:
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Title:
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(Signature of Co-Subscriber)
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(Printed Name of Co-Subscriber)
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Subscriber’s Address:
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Subscriber’s Telephone #:
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Subscriber’s E-Mail Address:
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Name of Subscriber, as it should appear on the
Certificate:
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If Joint Ownership, check one (all parties must sign above):
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tenants in common
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tenants by the entireties
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joint tenants with right of survivorship and not as tenants in common
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Uniform Gifts to Minors Act: ___________________ Custodian,
___________________ (Minor) under Uniform Gifts to Minors Act of
_________________________ (State)
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If Subscriber is an entity, please complete the appropriate item below, naming the person
with whom the Company is authorized to correspond in matters concerning the Shares:
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Corporation
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Name of Authorized
Person:
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Capacity:
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LLC
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Name of Authorized
Person:
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Capacity:
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[ ]
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Partnership
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Name of Authorized
Person:
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Capacity:
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[ ]
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Trust
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Name of Authorized
Person:
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Capacity:
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Estate
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Name of Authorized
Person:
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Capacity:
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Other
(describe)
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Name of Authorized Person:
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Capacity:
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INSTRUCTIONS FOR PAYMENTS BY CHECK OR MONEY ORDER
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Payments of the purchase price of the Shares made by check or money orders shall be
made payable to: “LOUISIANA FOOD COMPANY”, and are to be sent to the attention
of Xxxxx Xxxxxx, President, at the following address: 000 Xxxxx Xxxxxx, Xxxxx, Xxxxxxxxx
00000.
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INSTRUCTIONS FOR PAYMENTS BY WIRE TRANSFER
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Payments of the purchase price of the Shares to be made by wire transfer are to be made
pursuant to the following procedure:
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1.
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This completed Subscription Agreement shall be sent to the Company via
either (A) e-mail at xxxxxxxxxxxxx@xxxxxxxx.xxx or (B) fax at (___) ___-____.
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2.
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If this Subscription Agreement is accepted by the Company, the Company shall,
by reply e-mail or fax, send wire transfer instructions to Subscriber.
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3.
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Within 48 hours of Subscriber’s receipt of the Company’s wire transfer
instructions, Subscriber shall have delivered to the Company the purchase price
amount via wire transfer.
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The foregoing Subscription is hereby accepted for and on
behalf of Louisiana Food Company this _____day of
_____________, 201___.
ACCEPTANCE OF SUBSCRIPTION:
LOUISIANA FOOD COMPANY
By: ______________________________
Xxxxx Xxxxxx
President
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