FORM OF SUBSCRIPTION AGREEMENT
SUBSCRIPTION AGREEMENT
Gentlemen:
I/We hereby subscribe to ____________ shares of common stock, $.001 par value
per share, of xXxXxxxxxx.xxx, Inc., a Colorado corporation (the "Company"), at
$.25 per share. Such shares are being issued pursuant to a registration of
xXxXxxxxxx.xxx, Inc. common stock in accordance with the terms of a Prospectus
filed with the Securities and Exchange Commission which was declared effective
on the ___ day of ___________________, 2001. I/We hereby subscribe in the amount
of:
US$_________________ ($5,000 minimum)
Method of Payment
Please check one of the following:
[ ] I/We am/are tendering cash in United States in the above amount.
[ ] I/We am/are tendering a check, bank draft or postal express
money order payable in United States dollars to "xXxXxxxxxx.xxx,
Inc." in the above amount.
[ ] I/We confirm that I/we have instructed my/our bank to pay, by
wire transfer to "xXxXxxxxxx.xxx, Inc.", the above amount to:
Bank: Bank of New York
ABA No.: 000-000-000
For credit to: BNF Correspondent Corp.
Account No.: 89-001-869-6-8
For further credit to: xXxXxxxxxx.xxx, Inc.
Account No.: A9-13490-1-51
By execution and delivery of this Subscription Agreement, I/we hereby represent
and warrant as follows:
1. I/We have received and read the Prospectus of xXxXxxxxxx.xxx dated ___ day
of _________, 20__
2. The Shares are being acquired for investment purposes.
3. I/We acknowledge that payments with respect to subscriptions and
redemptions will be made in United States dollars and that adverse
fluctuations in exchange rates could reduce the return to me/us upon the
redemption of Shares.
4. I/We acknowledge that the Officers and Directors of the Company have
reserved the right to reject this application, in whole or in part, and
need not give a reason for such rejection.
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5. I/We acknowledge that the Company has made available to me/us all
documents pertaining to the transactions described in the Prospectus and
has given me/us an opportunity to verify any information contained in
the Prospectus and such documents.
6. I/We acknowledge that the Shares are a speculative investment which
involves a high degree of risk and have read and considered carefully
the information contained in the Prospectus. I/We am/are aware that the
loss of my/our investment is a possibility. I/We represent and warrant
that I/we have such knowledge and experience in financial, investment
and business matters that I/we am/are capable of evaluating the merits
and risks associated with an investment in Shares of the Company.
7. I/We acknowledge that Shares will not be issued and distributed until
after the Company's registration statement is declared effective by the
SEC. I/we agree to accept that number of Shares, which shall be issued
by the Company for the subscription amount which I/we have tendered, in
accordance with the terms of the aforementioned Prospectus, and to have
such Shares registered exactly as provided below:
Name in which Shares should be registered and issued:
____________________________
I/We have executed this Subscription Agreement on the ____ day of
_________________, 20__, in ________________________________________.
(Please indicate city, state and country)
Signature(s) of Applicant(s) Name (title, if necessary) and Address of
Applicant(s)
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Notes:
(a) In the event of joint registration, all applicants must sign.
(b) In the event of registration of Shares in the name of a trust, partnership
or corporation, please provide the full name of the entity and the official
title of the person executing this Agreement on behalf of such trust,
partnership or corporation.
SUSBSCRIBER'S AGENT
Name :
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Address :
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