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EXHIBIT 99.2
FINAL SUBSCRIPTION AGREEMENT
To the Board of Directors of
INTEGRITY BANCSHARES, INC.
00000 Xxxxx Xxxxxx Xxxx, Xxxxx X-000
Xxxxxxxxxx, Xxxxxxx 00000
Gentlemen:
I hereby subscribe to purchase the number of shares of Integrity
Bancshares, Inc.'s common stock indicated below.
I have received a copy of Integrity Bancshares, Inc.'s final
prospectus, dated _________, 2000. I understand that my purchase of Integrity
Bancshares, Inc.'s common stock involves significant risk, as described under
"Risk Factors" in the preliminary prospectus. I also understand that no federal
or state agency has made any finding or determination regarding the fairness of
Integrity Bancshares, Inc.'s offering of common stock, the accuracy or adequacy
of the final prospectus, or any recommendation or endorsement concerning an
investment in the common stock.
I enclose my check in the amount of $10.00 multiplied by the number of
shares I wish to buy. My check will be made payable to "The Bankers Bank -
Escrow Account for Integrity Bancshares, Inc.."
WHEN INTEGRITY BANCSHARES, INC. RECEIVES THIS AGREEMENT AND MY CHECK,
THIS SUBSCRIPTION AGREEMENT WILL BECOME FINAL AND BINDING AND WILL BE
IRREVOCABLE UNTIL THE OFFERING IS CLOSED.
Number of Shares (Minimum 2,500 shares): __________________
Total Subscription Price (at $10.00 per share): $__________________
__________________________
__________________________
Please print or type exact
name(s) in which the
shares should be
registered)
Accepted as of __________________, 2000, as to _____________ shares.
INTEGRITY BANCSHARES, INC.
By:
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Name:
-------------------------
Title:
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2
SUBSTITUTE W-9
Under the penalties of perjury, I certify that: (1) the Social Security
number or Taxpayer Identification number given below is correct; and (2) I am
not subject to backup withholding. INSTRUCTION: YOU MUST CROSS OUT #2 ABOVE IF
YOU HAVE BEEN NOTIFIED BY THE INTERNAL REVENUE SERVICE THAT YOU ARE SUBJECT TO
BACKUP WITHHOLDING BECAUSE OF UNDERREPORTING INTEREST OR DIVIDENDS ON YOUR TAX
RETURN.
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Date Signature(s)*
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Area Code and Telephone No.
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Please indicate the form of
ownership desired for the
shares (individual, joint
tenants with right of
survivorship, tenants in
common, trust, corporation,
partnership, custodian,
etc.)
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Social Security Number or Federal
Taxpayer Identification Number
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Street Address
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City/State/Zip Code
*When signing as attorney, trustee, administrator or guardian, please give your
full title as such. If a corporation, please sign in full corporate name by
president or other authorized officer. In case of joint tenants, each joint
owner must sign.
