SUBSCRIPTION AGREEMENT
GOLDEN
FORK CORPORATION
0
Xxxxxxxxx Xxx, Xxxxxxxxxxx
Xxxxxxxxxx,
0000 Xxxxxxx Xxxx, XXX
Dear
Sirs/Madams:
Concurrent with execution of this
Agreement, the undersigned (the “Purchaser”) is purchasing
__________________________________________________ (__________) shares of Common
Stock of GOLDEN FORK CORPORATION (the “Company”) at a price of $0.05
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 Xxx.
Xxxxx Xxxxx solicited him/her/it to purchase the shares of Common Stock of the
Company and no other person participated in such solicitation other than Xxx.
Xxxxx.
MAKE CHECK PAYABLE
TO: GOLDEN FORK CORPORATION
Executed this _____ day of
___________________, 2010.
Signature
of Purchaser
|
||
Address
of Purchaser
|
||
Printed
Name of Purchaser
|
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ID
#
|
PLEASE
ENSURE FUNDS ARE IN US DOLLARS
X $0.05
|
=
|
US$
|
|||||
Number
of Shares Purchased
|
Total
Subscription Price
|
||||||
Form
of Payment:
|
Cash:___________
|
Check
#: _______________
|
Other:
_________________
|
GOLDEN
FORK CORPORATION
|
|
By:
|
________________________ |
Title:
|
________________________ |