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Exhibit 99.3
SUBSCRIPTION AGREEMENT
The undersigned desires to purchase Units offered by Dayton General Systems,
Inc., a Pennsylvania corporation (the "Company"), pursuant to the Company's
Prospectus dated _________________, 1997 (the "Prospectus"). In that
connection, the undersigned is providing the following information and
representations.
Name:_____________________________________________
Address:__________________________________________
__________________________________________
Telephone Number:_________________________________
1. The undersigned desires to purchase ____ Units at a cost of $10.00 per Unit.
A check in the amount of $_________, payable to "National Bank of Southern
California, Escrow Agent for Dayton General Systems," is enclosed.
2. The undersigned represents as follows:
(a) I have received a copy of the Prospectus.
(b) I understand that this subscription may not be withdrawn or
cancelled during the Offering described in the Prospectus.
(c) FOR OHIO PURCHASERS ONLY. Either (i) my liquid net worth (net
worth exclusive of home, home furnishings and automobile) is at least
$250,000 and my gross annual income is at least $65,000 or (ii) my
liquid net worth is at least $500,000 or (iii) my net worth
(inclusive) is at least $1,000,000 or (iv) my gross annual income is
at least $200,000. __________ (initial)
3. My broker for this investment is:
Broker's Name:____________________________________
Firm Name:________________________________________
Address:__________________________________________
Telephone Number:_________________________________
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4. Overnight this Agreement and check to:
X.X. Xxxxxxx & Associates
00 Xxxx Xxxxx Xxxxxx
Xxxxxx xxx Xxx, XX 00000
Attn: Xxxxxx X. Xxxxxxx
Signed:_______________________________
_______________________________
(Instructions: If joint subscribers, each
should sign. If subscriber is a corporation,
or other entity, please sign full corporate
or other name by duly authorized officer or
representative.)
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