SMARTMETRIC, INC. SUBSCRIPTION AGREEMENT
NAME:
ADDRESS:
1. I
hereby subscribe for ___________ shares of SMARTMETRIC at a price of $1.50 per
share, and enclose herein a check or money order payable to the order of
SIGNATURE BANK, AS ESCROW AGENT FOR SMARTMETRIC, INC. in the amount of
$____________ to cover the aggregate subscription price.
2. I
understand that SMARTMETRIC reserves the right to reject, in whole or in part,
any offer to subscribe, in its discretion, for any reason whatsoever, and that
no subscription may be withdrawn once made.
3. I
hereby acknowledge receipt of SMARTMETRIC’s Prospectus.
4. I
understand that in the event this subscription is accepted, in whole or in part,
my money shall be held in escrow until the minimum offering of $499,999.50 (Four
Hundred Ninety-Nine Thousand Dollars and Fifty Cents) has been sold.
5. In the
event the minimum offering is not sold, all funds held in escrow shall be
returned to investors, with interest thereon.
6. In the
event the minimum offering is sold, the certificates representing the shares I
am purchasing shall be registered in the name printed below and delivery will be
made to the address printed below.
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Name |
Signature(s) |
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Street Address |
City,
State, Zip Code |
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S.S.
# or Tax I.D. # |
Area
Code, Telephone Number |
PLEASE
RETURN THIS FORM WITH A CHECK MADE PAYABLE TO SIGNATURE
BANK, AS ESCROW AGENT FOR SMARTMETRIC
IN THE AMOUNT LISTED ABOVE TO: Xxxxxxxxx & Xxxxxxxxx, L.L.P., 00 Xxxx
Xxxxxx, Xxxxx 000, Xxx Xxxx, Xxx Xxxx 00000
