ONLINE HOLDINGS, INC. - common stock Subscription Agreement Investment
EXHIBIT 99.1
ONLINE HOLDINGS, INC. - common stock
Subscription Agreement
Investment
I desire to purchase _________________ shares of Online Holdings, Inc at $0.125 per share for a total of $__________________________
Make Checks Payable to: Escrow Specialists. Online Holdings, Inc., Escrow Account
Subscriber Information: Please clearly print name(s) in which Shares are to be acquired. All correspondence will go to the Investor Residence Address
Investor 1 (First, Middle I., Last):
_________________________________________________________________________________________
Investor 2 (First, Middle I. Last):
_________________________________________________________________________________________
Registration for the Investment (how the investment should be titled):
_________________________________________________________________________________________
Investor Residence Address 1:
_________________________________________________________________________________________
Check one of the following: [ ] U.S. Citizen Resident [ ] Alien [ ] U.S. Citizen residing outside the U.S.
[ ] Foreign Resident; Country ________
Investor Residence Address 2:
_________________________________________________________________________________________
City, State ZIP Code
_________________________________________________________________________________________
Enter the taxpayer identification number. For most individual taxpayers, it is their Social Security Number. Note: If the purchase is in more than one name, the number should be that of the first person listed. For IRAs, Keoghs, and qualified plans, enter both the Social Security Number and the Taxpayer Identification Number for the plan.
Social Security Number Taxpayer Identification Number (if applicable)
___________________________________________________________________________________________
Form of Ownership (Individual, XXX, Trust, UGMA, Pension Plan, etc.)
____________________________________________________________________________________________
Subscriber Signature: The undersigned has the authority to enter into this subscription agreement on behalf of the person(s) or entity registered above.
Authorized Signature of Investor 1 ___________________________________ Date:_________________________
Authorized Signature of Investor 2 __________________________________ Date:__________________________
Company's Acceptance (To be completed only by an authorized representative of the Company.)
The foregoing subscription is accepted this ____________ day of ________________, _____ _____________________________________________
Authorized Representative of the Company