AMERICAN CRYSTAL SUGAR COMPANY
SUBSCRIPTION AGREEMENT FOR POOL 3 PREFERRED STOCK
Name and address of subscriber:
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The undersigned subscriber hereby subscribes for and agrees to purchase
__________ shares of preferred stock, at a price of $1,500.00 per share, and
delivers herewith a check payable to "American Crystal Sugar Company" in full
payment for such shares. (If the undersigned is not a member of American Crystal
Sugar Company as of the date of this agreement, the undersigned also agrees to
purchase one share of Common Stock for a purchase price of $10; the subscriber's
check should be increased to include the $10 purchase price.)
The undersigned subscriber hereby declares and represents that (i) either
the subscriber continues to be eligible for membership in American Crystal Sugar
Company as of the date hereof, in accordance with the Company's Articles of
Incorporation and Bylaws or that the subscriber is eligible for membership in
American Crystal Sugar Company, as indicated by the subscriber's prior execution
of Subscription Document D, (ii) the undersigned subscriber acknowledges and
agrees that the purchase of the shares of preferred stock will obligate such
subscriber to provide sugarbeets to the Company in accordance with the terms and
conditions of the subscriber's "grower's agreement(s)" with the Company and
(iii) that such grower's agreements shall be deemed amended to include the
shares of preferred stock purchased hereby.
INSTRUCTIONS: if the subscribers are co-owners or joint owners, each should
sign. If the subscriber is a corporation, an officer should sign and give his or
her title. If the subscriber is a general partnership, a limited partnership, a
partner, a general partner or an authorized member, respectively, he or she
should sign and give his or her title and, by signing, certifies that he or she
is entitled to sign on behalf of the entity.
Dated: --------------------- ------------------------------------------
(Signature) (title)
Dated: --------------------- ------------------------------------------
(Signature) (title)
This Subscription Agreement must be received by the Company at its corporate
office, ▇▇▇ ▇. ▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇, no later than
___________ at 5 p.m. Your check must be returned with this subscription
agreement.
