SUBSCRIPTION AGREEMENT
Exhibit 99.1
Havana Furnishings Inc.
Edificio Ultramar Plaza
Apt. #4A 00xx Xxxxxx
Xxxxxx Xxxx, Xxxxxx
Dear Sir:
Concurrent with execution of this Agreement, the undersigned (the “Purchaser”) is purchasing _______________________________________________ (__________) shares of Common Stock of Havana Furnishings Inc. (the “Company”) at a price of $0.015 per Share (the “Subscription Price”). Purchaser hereby confirms the subscription for and purchase of said number of shares and hereby agrees to pay herewith the Subscription Price for such Shares. Purchaser further confirms that Xx. Xxxxxx Xxxxx solicited him/her/it to purchase the shares of Common Stock of the Company and no other person participated in such solicitation other than Xx. Xxxxx.
The company requests that you review its terms and conditions for which a return of your funds is warranted in its prospectus prior to investing.
MAKE CHECK PAYABLE TO: Havana Furnishings Inc.
Executed this _____ day of ___________________, 2011.
____________________________________ ____________________________________
Signature of Purchaser
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Address of Purchaser
____________________________________
Printed Name of Purchaser
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PLEASE ENSURE FUNDS ARE IN US DOLLARS |
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X $0.015 _________ |
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US$ _________ |
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Number of Shares Purchased |
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Total Subscription Price | |
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Form of Payment: |
Cash: __________ Check #: ____________ |
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Other: ________________ |
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By: |
__________________________________ |
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Title: |
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