SOLAR ACQUISITION CORP., INC. SUBSCRIPTION AGREEMENT
Gentlemen:
The
Investor named below, by payment of the purchase price for such Common Shares,
by the delivery of a check payable to SOLAR ACQUISITION CORP., INC. hereby
subscribes for the purchase of the number of Common Shares indicated below of
Solar Acquisition Corp., Inc.
By such
payment, the named Investor further acknowledges receipt of the Prospectus and
the Subscription Agreement, the terms of which govern the investment in the
Common Shares being subscribed for hereby.
| A. |
INVESTMENT:
|
(1)
|
Number
of Shares ___________________________
|
|
|
(2)
|
Total
Contribution $__________
|
|||
|
Date
of Investor’s check ___________
|
||||
|
B.
|
REGISTRATION:
|
|||
|
(3)
|
Registered
owner: __________________________
|
|||
|
Co-Owner:
__________________________________
|
||||
|
(4)
|
Mailing
address: ___________________________
|
|||
|
City,
State & zip: _________________________
|
||||
|
(5)
|
Residence
Address (if different from above):
|
|||
|
============================================
|
||||
|
(6)
|
Birth
Date: ______/______/______
|
|||
|
(7)
|
Employee
or Affiliate: Yes ______ No ______
|
|||
|
(8)
|
Social
Security: #: ______/______/______
|
|||
|
U.S.
Citizen o
Other o
|
||||
|
Co-Owner
Social Security:
|
||||
|
#:
______/______/______
|
||||
|
U.S.
Citizen o Other o
|
||||
|
Corporate
or Custodial:
|
||||
|
Taxpayer
ID #: ______/______/______
|
||||
|
U.S.
Citizen o
Other o
|
||||
|
(9)
|
Telephone
(H) ( )
______________________
|
|
C.
|
OWNERSHIP
|
o
|
Individual
Ownership
|
o
|
XXX
or Xxxxx
|
|
|
o
|
Joint
Tenants with Rights of Survivorship
|
|||||
|
o
|
Trust/Date
Trust Established____________
|
|||||
|
o
|
Pension/Trust
(S.E.P.)
|
|||||
|
o
|
Tenants
in Common
|
o
|
Tenants
by the
Entirety
|
|||
|
o
|
Corporate
Ownership
|
o
|
Partnership
|
|||
|
o
|
Other_____________________
|
|||||
|
D.
|
SIGNATURES
|
Registered
Owner: _____________________________
Co-Owner:
_____________________________
Print
Name of Custodian or Trustee: _____________________________
Authorized
Signature: _____________________________
Date:
_____________________
Signature:
___________________________________
MAIL
TO:
Solar
Acquisition Corp., Inc.
0000
Xxxxxxx Xxxx. Xxxxx 0
Xxx
Xxxxx, XX 00000
Telephone:
000-000-0000
Telecopier:
000-000-0000
____________________________________________________________________
FOR
OFFICE USE ONLY:
Date
Received: ________________________________________________
Date
Accepted/Rejected ________________________________________
Subscriber’s
Check Amount: _______________________
Check No.
___________________ Date Check ________________
Deposited
________________________________
MR
#________________
____________________________________________________________________
We have
not authorized any dealer, salesperson or other person to give any information
or represent anything not contained in this prospectus. You must not rely on any
unauthorized information. This prospectus does not offer to sell or buy any
shares in any jurisdiction where it is unlawful. The information in this
prospectus is current only as of the date of this prospectus.
