Exhibit 99
EXHIBIT 99
SUBSCRIPTION AGREEMENT - Eagle Golf Corp.
1. INVESTMENT:
(a) The undersigned subscribes for _____________ Shares of Common Stock of
Eagle Golf Corp., at $0.05 per share.
(b) Total subscription price ($0.05 times number of Shares): =
$ ____________________________.
Signatures: Executed this ______ day of _____________________, 2002 at
___________________, __________________.
City State
X________________________________ X________________________________
Signature Signature
(investor or authorized signature) (investor or authorized signature)
2. INVESTOR INFORMATION:
_________________________ ________________ ________________________________
Name (type or print) Social Sec. No. Address
_________________________ ________________ ________________________________
Name (type or print) Social Sec. No. Address
Mailing Address (if different from above):
__________________________ ___________________ ____________ ____________
Street City State Zip
Business Phone: ( ) ________________ HomePhone: ( ) ________________
Describe relationship or affiliation between subscriber(s) and Eagle Golf
Corp., (if any): _________________________________________________________
_________________________________________________________
3. TYPE OF OWNERSHIP: (You must check one box)
1. [ ] Individual 6. [ ] Joint Tenants with rights of
Survivorship
2. [ ] Tenants in Common 7. [ ] Custodian for ____________________
3. [ ] Community Property 8. [ ] Uniform Gifts to Minors Act of the
State of _________________________
4. [ ] Partnership 9. [ ] Corporation - must include names of
Officers, Directors & major
5. [ ] Trust shareholders (5% or greater):
__________________________________
__________________________________
__________________________________
10. [ ] Other (explain)
__________________________________
__________________________________
4. RECEIPT OF DISCLOSURE DOCUMENT:
By executing this subscription agreement, the undersigned
acknowledges receipt of a current Disclosure Document, as supplemented to
the date of this Subscription Agreement, in which the terms and conditions
of the offering of common stock and the risks associated therewith are
described.
5. TERMINATION OF THE OFFERING:
The undersigned understands that the Company may terminate the
offering at any time and for any reason. If the offering is so
terminated, and the Company, and/or the Escrow Agent, is holding
subscriptions that have not been accepted by an authorized representative
of the Company, together with the un-accepted subscription agreements,
then in that event the subscriptions so held shall be returned with any
interest earned thereon.
6. REPRESENTATION AND WARRANTS:
By executing this subscription agreement, the undersigned represents
and warrants to the Company that:
(a) Subscriber is buying the common stock for Subscriber's own account
or is buying for the account or benefit of a member or members of
Subscriber's immediate family or in a fiduciary capacity for the
account of another person or entity and is not purchasing as an
agent for another. Furthermore, if Subscriber is purchasing for the
account of another person or entity, Subscriber has full authority
to execute this Subscription Agreement in such capacity and on
behalf of such person or entity.
(b) Subscriber is 18 years of age or over (You must check box)
[ ] Yes [ ] No
(c) Subscriber has received and read the Prospectus dated:August 28, 2002.
(d) Subscriber can afford the entire loss of the purchase price hereto
should there be such a loss.
7. ACCEPTANCE OF SUBSCRIPTION:
The undersigned hereby confirms Subscriber's understanding that the
Company has the full right to accept or reject this subscription,
providing that the Company must accept or reject the subscription within
thirty (30) days after it is received by the Company. In case of
rejection of a subscription, contributions of such persons will promptly
be returned to such persons without interest thereon.
Please make a copy of your completed Subscription Agreement for yourself
after signing.
X____________________________________________________
Subscriber's Signature
Dated this _________ day of _________________, 2002.
MAKE CHECK PAYABLE TO: LaSalle Bank National Association c/o Eagle Golf Corp.
SEND SUBSCRIPTION AGREEMENT AND CHECK TO: LaSalle Bank National Association,
Escrow Agent of Eagle Golf Corp.
PLEASE DO NOT STAPLE CHECK TO THE AGREEMENT 0000 X. Xxxxxxx Xxxxx., Xxxxx-0
Xxxxxxxxx, XX 00000
Accepted for the Company this _________ day of ____________________, 2002.
By: ___________________________________
