name) (address)
(name)
(address)
(date)
Sierra Ventures, Inc.,
0000 X Xxxxxx, Xxxxxx 000,
Xxxxxx, XX 00000
Attention: Mr. Xxx Xxxxxxx, President
Dear Sirs:
Re: Rescission of Issued Shares |
Dear Sirs:
I hereby acknowledge that I have been informed and that I understand the subscription agreement I signed for the purchase of ___________ shares of common stock of Sierra Ventures, Inc. in exchange for the payment of $_________ was signed prior to the effective date of the registration statement as filed with the United States Securities and Exchange Commission.
I therefore rescind the purchase of said shares.
Further, by this letter I hereby permit Sierra Ventures, Inc. to hold the monies it owes me in refund until the earlier of (1) 60 days following the effective date of a qualified registration statement filed with the SEC or (2) 180 days from the date of this rescission.
Dated: | ||
By: |