SUBSCRIPTION AGREEMENT
Exhibit
99.1 Form of Subscription Agreement
OxySure
Systems, Inc.
00000
Xxxx X. Xxxxxx Xxxxx,
Xxxxx
000
Xxxxxx,
Xxxxx 00000
(000)
000-0000
Attention: Xxxxxx
Xxxx
Re: Prospectus,
dated ______________ 2008
Dear Xx.
Xxxx:
The
undersigned investor ("Investor") in this Subscription Agreement ("Agreement")
hereby acknowledges receipt of the prospectus ("Prospectus"), dated
__________________, 2008 of OxySure Systems, Inc., a Nevada corporation, and
subscribes for the following number of shares upon the terms and conditions set
forth in the Prospectus. The Investor agrees that this Agreement is subject to
availability and acceptance by OxySure Systems, Inc.
1
The
Investor hereby subscribes for ____________ shares of OxySure Systems, Inc's
common stock ("Common Stock") at $0.10 per share, for an aggregate purchase
price of $____________. Enclosed is the Investor's check which shall
be made payable to "Delos Stock Transfer- Escrow Account," with OxySure Systems,
Inc written on the reference line of the check. The check is to be
sent care of OxySure Systems, Inc. at the above listed address for the
Company.
Accepted
and Agreed
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Signature
of Investor
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Print
Full Name
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Street
Address
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City,
State, Zip
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Email
Address
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Area
Code and Telephone Number
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Social
Security Number/Tax I.D. Number
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Accepted
and Agreed:
OxySure
Systems, Inc.
By:_____________________________________
Xxxxxx
Xxxx
President
and Chief Executive Officer
2
