SUBSCRIPTION AGREEMENT
AND
PROSPECTIVE PURCHASER QUESTIONNAIRE
GLOBAL HOME MARKETING, INC.
SUBSCRIPTION AGREEMENT
TO: GLOBAL HOME MARKETING, INC., "The Company", Seller
All investors are subject to the provisions of the subscription agreement and
completion of the prospectus purchaser questionnaire which includes the amount
of shares purchased, the price of the shares, the provisions of receiving the
share certificate(s), and representations and warranties that the purchaser is a
qualified investor who must have a minimum net worth of $250,000 and annual
individual income of $100,000 for each of the two predecessor years or a
combined household income with spouse of $150,000 per year for the two
predecessor years, or other substantial "sophisticated" investor indicators. The
purchaser must complete a prospectus purchaser questionnaire and must comply
with the minimum income and net worth provisions to be a "qualified" investor.
1. The undersigned hereby subscribes for the purchase of ________________common
shares of stock, @$1.00 per share, of Global Home Marketing, Inc. (the
"Company") in accordance with the terms and conditions of this Agreement.
2. This subscription is one of a limited number of such subscriptions for common
shares of stock of the Company. The execution of this Agreement of the
undersigned shall constitute an offer by the undersigned to subscribe for common
shares of stock in the amount specified below. The Seller, Global Home
Marketing, Inc., shall have the right (in its sole discretion) to reject such
offer for any reason whatsoever, or, by executing a copy of this Agreement, to
accept such offer. If such offer is accepted, Global Home Marketing, Inc. will
return an executed copy of this Agreement to the undersigned, along with a valid
share certificate from the Company's transfer agent, National Stock Transfer,
Inc., 0000 Xxxxx 0000 Xxxx, Xxxx Xxxx Xxxx, Xxxx 00000. If this subscription is
rejected or if the offering is not consummated for any reason, the undersigned's
subscription payment will be returned, uncashed, as soon as practicable
following termination of the offering or the date of rejection, as applicable.
It is understood that this subscription is not binding on Global Home Marketing,
Inc. unless and until it is accepted by Global Home Marketing, Inc., as
evidenced by its execution of this Subscription Agreement where indicated below.
3. The undersigned hereby makes the following representations and warranties:
a. The undersigned has been furnished with the Memorandum and
documents attached thereto.
b. All information provided to the Global Home Marketing, Inc., including
that in the Prospective Purchaser Questionnaire, is true and correct and
complete in all respects as of the date hereof.
c. The undersigned is at least twenty-one (21) years of age and sufficient
legal capacity to execute this Agreement.
d. The undersigned has sufficient knowledge and expertise in business, and
financial matters to evaluate the merits and risk of an investment.
e. The undersigned is a qualified investor as that term is defined above.
f. The undersigned has had an opportunity to ask questions of and receive
answers from the Company, or any person or persons acting on its behalf,
concerning the terms and conditions of this investment and, if asked, and all
such questions have been answered to the full satisfaction of the undersigned.
g. The undersigned has adequate means of providing for his current needs
and possible personal contingencies and has no need for liquidity in this
investment, and his overall commitment to investments which are not readily
marketable is not disproportionate to his net worth, and his investment in the
shares will not cause such overall commitment to become excessive.
h. The undersigned understands that the common shares of stock have been
registered under the Securities Act of 1933, as amended (the "Act") pursuant to
the completion of an SB-2 Registration Statement but not with any state.
i. The undersigned is acquiring the common shares of stock for his own
account for investment purposes only and is not purchasing the subject shares
for an undisclosed third party.
j. If the undersigned is a corporation, partnership, trust, or other
entity, it represents:
(i) It is duly organized, validly existing, and in good standing under
the laws of the United States of America, or elsewhere, and has all of the
requisite power and authority to invest in the shares as provided herein.
(ii) Such investment does not result in any violation of, or conflict
with, any term of the charter or bylaws of the undersigned or any
instrument to which it is bound or any law or regulation applicable to it.
(iii) Such investment has been duly authorized by all the necessary
action on behalf of the undersigned.
(iv) This Agreement has been duly executed and delivered on behalf of
the undersigned and constitutes a legal, valid and binding agreement of the
undersigned.
The foregoing representations and warranties shall be true and accurate as
of the date hereof and as of the date of delivery of the purchase price to
Global Home Marketing, Inc., and shall survive such delivery period.
4. Miscellaneous
a. This Agreement, any amendments or replacements hereof, and the legality,
validity, and performance of the terms hereof, shall be governed by, and
enforced, determined and construed in accordance with, the laws of the State of
Nevada applicable to contracts, transactions and obligations entered into and to
be performed in such State.
b. This Agreement contains the entire agreement between the parties. The
provisions of this Agreement may not be modified or waived except in writing.
c. This Agreement and the rights, powers and duties set forth herein shall,
except as set forth herein, bind and inure to the benefit of the heirs,
executors, administrators, legal representatives, successors and assignes of the
parties hereto. The undersigned may not assign any of his rights or interests in
and under this Agreement wihout the prior written consent of the Global Home
Marketing, Inc., and any attempted assignment without such consent shall be void
and without effect.
d. It is understood that this Subscription is offered on a subject top
prior sale basis and is not binding on Global Home Marketing, Inc. until the
Company accepts it, which acceptance is at the sole discretion of Company, by
executing this Subscription Agreement where indicated.
-2-
5. Subscription. The undersigned hereby subscribes for the purchase of
______________common shares of stock of Global Home Marketing, Inc. and encloses
payment in the amount of $ ____________($1.00 per share) payable to "Global Home
Marketing, Inc., Special Account"
TYPE OF OWNERSHIP
_________ Individual
_________ Joint Tenants with Right of Survivorship
_________ Tenants in Common
_________ Community Property
_________ Other
Executed this _______ day of _________, 2001, at _______________________________
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Print Name
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Signature of Investor
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Social Security or other identification number
If the Investor has indicated that the shares will be held as joint tenants,
tenants in common or as community property, please complete the following:
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Print Name of Spouse or Other Investor
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Signature of Spouse or Other Investor
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Social Security or other identification number
-3-
If the Investor is a partnership, corporation or trust, complete the following:
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Name of Partnership, Corporation or Trust
(affix seal, if any)
By:
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Print Name of Individual Signing
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Capacity of Individual Signing
Accepted
Global Home Marketing, Inc.
By:
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Title:
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Date of Acceptance
-4-
PROSPECTIVE PURCHASER QUESTIONNAIRE
TO: GLOBAL HOME MARKETING, INC.
To Whom It May Concern:
The information contained herein is being furnished to you in order for you to
determine whether the undersigned may purchase common shares of stock of Global
Home Marketing, Inc., pursuant to an SB-2 Registration Statement, from the
Company. The undersigned herein states that he (she) is a qualified investor and
has knowledge and experience in financial and business matters and is capable of
evaluating the merits and risks of the proposed investment.
The undersigned further represents that (i) the information contained herein is
complete and accurate and may be relied upon by you and (ii) the undersigned
will notify you immediately of any material change in any of such information
occurring prior to the purchase of the subject common shares of stock.
The undersigned understands and agrees that this questionnaire will be kept
strictly confidential.
In accordance with the foregoing, the following representations and information
are hereby made and furnished by:
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Print Name of Prospective Purchaser
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Signature of Prospective Purchaser
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INSTRUCTIONS: Please answer all questions. If the answer to any questions
is "None" or "Not Applicable," please so state.
1 Full Name _______________________________________
Social Security Number _________________________
Age ________
Occupation _____________________________________
Citizenship___________________ Number of Dependents ___________
Residential Address:
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Please indicate your preferred mailing address:
( ) Residential ( ) Business
2. Was your income (from all sources) for each of the two latest complete
calendar years more than (check one):
______$ 30,000 _____$ 50.000 _____$100,000 _____$150,000
______$200.000 _____$250.000 _____$300,000 _____$350.000
(a) What percentage of your income as shown above was derived from sources
other than salary?
-------------------%
(b) Approximately what percentage of your income as shown above remained
after payment of Federal, state and local taxes, and after payment of
all ordinary and necessary living expenses?
-------------------%
(c) Does the above income represent your joint income with your spouse?
Yes _______ No _______
3. Is your income from all sources anticipated for the current tax year in
excess of (check one):
______$ 30,000 _____$ 50.000 _____$100,000 _____$150,000
______$200.000 _____$250.000 _____$300,000 _____$350.000
(a) Does the above income represent your joint income with your spouse?
Yes _______ No _______
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4. Is your net worth as of the date hereof in excess of (check one):
______$ 30,000 _____$ 50.000 _____$100,000 _____$150,000
______$200.000 _____$250.000 _____$300,000 _____$350.000
(a) What percentage of your net worth as shown above is invested in
restricted securities or investments in marketable securities (stock.
bonds, debentures, or notes)?
Restrictive securities ______________%
Marketable securities ______________%
==============%
(b) Do these net worth representations include your spouse's assets and
liabilities?
Yes _______ No _______
(c) What percentage of your net worth as shown above constitutes home,
furnishings, and automobiles? _____________%
(d) What percentage of your net worth as shown above constitutes liquid
assets (cash or assets readily convertible to cash)? _____________%
5. For investors other than natural persons:
(a) Type of entity. Corporation _______ Trust _______ Partnership _______
Other (specify) ___________________
(b) Date or organization: ____________________
(c) Number of equity owners (stockholders, partners, beneficiaries, etc.):
(d) Was the entity formed for the primary purpose of investing in direct
participation programs or other passive investments?
Yes _______ No _______
6. Please supply the following information with respect to the bank (or banks)
at which you maintain a regular checking account:
Name of Bank:_____________________________
Address:__________________________________
Telephone:________________________________
Contact:__________________________________
7. (a) Are you aware that the securities proposed may require your capital
investment be maintained for an indefinite period of time?
Yes _______ No _______
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(b) Do you have any investments or contingent liabilities which you can
reasonably anticipate could cause the need for sudden cash
requirements in excess of cash readily available to you'.'
Yes _______ No _______
If "Yes," please explain.
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8. Please list your business or professional educational background (schools
attended and degrees obtained):
Schools Degree Dates Attended
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9. Please list any professional licenses or registrations including bar
admissions, accounting certifications, real estate brokerage licenses, and
SEC or state broker-dealer registrations, held by you:
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10. Please list your principal employment and business activities during the
last five years, as well as any relevant financial experience.
Employer Position/Title Employment Dates
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11. Please describe your experience as an investor, including amounts
invested, in securities, particularly investments in development stage
company's securities.
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12. Have you participated in other development stage company's securities?
Yes _______ No _______
I understand that the Company will be relying on the accuracy and completeness
of my responses to the foregoing questions and I represent and warrant to the
Company as follows:
i. The answers to the above questions are complete and cornea and may be
relied upon by the Company in determining whether the offering in
which I propose to participate is exempt from registration under the
Securities Act of 1933, as amended;
ii. I will notify the Company immediately of any material change in any
statement made herein occurring prior to the closing of any purchase.
iii. I, am a "qualified investor" as that term is defined above, have
sufficient knowledge and experience in financial and business matters
to evaluate the merits and risks of the prospective investments; I am
able to bear the economic risk of the investment and currently could
afford a complete loss of such investment
IN WITNESS WHEREOF, I have executed this Prospective Purchaser Questionnaire
this _____ day of____________
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Prospective Purchaser Prospective Purchaser
Signature Signature
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Print Name Print Name
Sworn to me this _____ day of _____________, 199
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Notary Public
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My commission expires: (Notarial Seal)
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