EXHIBIT 99.1
BLACKHAWK USA
Subscription Agreement
The undersigned (“Buyer”) subscribes
for ______ Shares of Common Stock of Blackhawk USA at $0.50 per share.
Total subscription price ($0.50 time’s number of Shares):
= $________________.
PLEASE MAKE CHECKS PAYABLE TO: Law Offices of Xxxxxx X.
Xxxxxxx, Escrow Agent F/B/O Blackhawk USA
Investor information:
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| Name (type or print) |
SSN/EIN/Taxpayer I.D. |
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Address |
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| Joint Name (type or print) |
SSN/EIN/Taxpayer I.D |
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Address (If different from above) |
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| Mailing Address (if different from above): |
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Street |
City/State |
Zip |
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Home Phone: |
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| 2. | Type of ownership: (You must check one box) |
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Individual |
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Custodian for |
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Tenants in Common |
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Uniform Gifts to Minors Act of the State of: __________ |
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Joint Tenants with rights of Survivorship |
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Corporation (Inc., LLC, LP) – Please List all officers, directors, partners, managers, etc.: |
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Partnership (Limited Partnerships use “Corporation”) |
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Trust |
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Community Property |
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Other (please explain) |
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| 3. | Further Representations, Warrants and Covenants. Buyer hereby represents warrants, covenants
and agrees as follows: |
| (b) | Except as set forth in the Prospectus and the exhibits thereto, no representations or warranties,
oral or otherwise, have been made to Buyer by the Company or any other person, whether or not associated with the Company or this
offering. In entering into this transaction, Buyer is not relying upon any information, other than that contained in the Prospectus
and the exhibits thereto and the results of any independent investigation conducted by Buyer at Buyer’s sole discretion and
judgment. |
| (c) | Buyer understands that his or her investment in the Shares is speculative and involves a high degree
of risk, and is not recommended for any person who cannot afford a total loss of the investment. Buyer is able to bear the economic
risks of an investment in the Offering and at the present time can afford a complete loss of such investment. |
| (d) | Buyer is under no legal disability nor is Buyer subject to any order, which would prevent or interfere
with Buyer’s execution, delivery and performance of this Subscription Agreement or his or her purchase of the Shares. The
Shares are being purchased solely for Buyer’s own account and not for the account of others and for investment purposes only,
and are not being purchased with a view to or for the transfer, assignment, resale or distribution thereof, in whole or part. Buyer
has no present plans to enter into any contract, undertaking, agreement or arrangement with respect to the transfer, assignment,
resale or distribution of any of the Shares. |
| 4. | Acceptance of Subscription. |
| (a) | It is understood that this subscription is not binding upon the Company until accepted by the Company,
and that the Company has the right to accept or reject this subscription, in whole or in part, in its sole and complete discretion.
If this subscription is rejected in whole, the Company shall return to Buyer, without interest, the Payment tendered by Buyer,
in which case the Company and Buyer shall have no further obligation to each other hereunder. In the event of a partial rejection
of this subscription, Buyer’s Payment will be returned to Buyer, without interest, whereupon Buyer agrees to deliver a new
payment in the amount of the purchase price for the number of Shares to be purchased hereunder following a partial rejection of
this subscription. |
| (a) | This Subscription Agreement shall be governed
and construed in all respects in accordance with the laws of the State of California without giving effect to any conflict of laws
or choice of law rules. |
IN WITNESS WHEREOF, this Subscription Agreement
has been executed and delivered by the Buyer and by the Company on the respective dates set forth below.
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INVESTOR SUBSCRIPTION ACCEPTED AS OF |
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day of |
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| Signature of Buyer |
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Blackhawk USA, Inc. |
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00000 Xxxxx Xxxxxx Xxxxx, Xxxxx 000
Xxxxxxxx Xxxxx, Xxxxxxxxxx 00000 |
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By: |
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President |
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Deliver completed subscription agreements
and checks to:
Law Offices of Xxxxxx X. Xxxxxxx
0000 Xxxxxxx Xxxxxx, Xxxxx 000
Xxxxxxxx, Xxxxxxxxxx 00000
