SUBSCRIPTION AGREEMENT
Exhibit 99.1
10-4 Corporation
32, Chemin du Lac des Pins Sud
Xxxxxxxx-Xxxx, Quebec
Canada J0T 2V0
Dear Sirs:
Concurrent with execution of this Agreement, the undersigned (the “Purchaser”) is purchasing _______________________________________________ (__________) shares of Common Stock of 10-4 Corporation (the “Company”) at a price of $0.10 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 Xxxx Xxxxxx 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. Xxxxxx.
MAKE CHECK PAYABLE TO: 10-4 CORPORATION
Executed this _____ day of ___________________, 2008.
__________________________________ _______________________________________
Signature of Purchaser
__________________________________
__________________________________
Address of Purchaser
__________________________________
Printed Name of Purchaser
PLEASE ENSURE FUNDS ARE IN US DOLLARS
| ____________________________________ | X $0.10 ________________ | = US$___________ | |
| Number of Shares Purchased | Total Subscription Price | ||
| Form of Payment: | Cash: _______ | Check #: __________ | Other: ______________ |
| 10-4 CORPORATION | |||
| By: _________________________________ | |||
| Title: ________________________________ | |||
