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EXHIBIT 3.7
HEALTHTRONICS, INC.
SUBSCRIPTION AGREEMENT
I hereby subscribe to _________ (Number of Shares) of Common Stock at $6.00
per Share for a Total Purchase Price of $______ (Total Purchase Price = Number
of Shares x $6.00). Minimum Subscription = 100 Shares ($600).
I have enclosed a check for the Total Purchase Price made payable to "
(Name of Bank) as Escrow Agent for HealthTronics, Inc.".
REGISTRATION (type or print):
Name(s) in which Shares are to be registered:
________________________________________________________________________________
Street Address:
________________________________________________________________________________
City, State, Zip Code and Telephone Number:
________________________________________________________________________________
Ownership Form (check one only):
___ Individual ___ Tenants in Common
___ Community Property ___ Corporation
___ Partnership ___ Pension or Profit Sharing Plan
___ Joint Tenants with ___ Custodian under Uniform Gift to
Right of Minors Act
Survivorship ___ Other (Specify)________________
TAXPAYER IDENTIFICATION NUMBER, CERTIFICATION AND SIGNATURE:
Social Security Number or Taxpayer Identification Number:
_______________________________________________________________________________
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Certification: I certify that I have received a copy of the Prospectus with
respect to the Shares and have reviewed it.
Signature:
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Signature of Subscriber Signature of Co-Subscriber
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Indicate Status of Subscriber and Co-Subscriber (Custodian, Trustee, Officer or
Partner) if not signing as Individual(s).
Date:
, 1999.
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