SUBSCRIPTION AGREEMENT InnerLight Holdings, Inc. Provo, UT 84606
000 Xxxx
0000 Xxxxx
Xxxxx,
XX 00000
THIS SUBSCRIPTION AGREEMENT
made this _____day of ______________, 2009 by and between InnerLight Holdings,
Inc., a Delaware corporation (hereinafter “ Company”), and the
undersigned Subscriber (hereinafter “Subscriber”), who, for and in consideration
of the mutual promises and covenants set forth herein, do hereto agree as
follows:
1. Subscription. The
Subscriber hereby subscribes for ____________ Units (hereinafter “Units”) of the
Company’s securities, at a price of $10.00 per Unit, and herewith tenders to the
Company’s Escrow Agent certified bank funds or wire transfer for the
subscription in the amount of US$________________, which the Subscriber tenders
herewith as payment for the Units. Each Unit consists
of ten (10) shares of $.001 par value common stock of the Company,
ten (10) Class “B” Common Stock Purchase Warrants, and ten (10) Class “D” Common
Stock Purchase Warrants, as more fully is described in the Prospectus delivered
to you along with this Subscription Agreement. This Subscription
Agreement (hereinafter “Subscription”) is an offer by you, the Subscriber, to
subscribe for the purchase of these Units, and, subject to the terms
set forth in the Prospectus and any additional requirements imposed by your
State of domicile, shall become a contract for the sale of said Units upon
acceptance thereof by the Company.
2. Acknowledgement. The
undersigned acknowledges that, prior to signing this Subscription Agreement, he
or she has received a copy of the Prospectus describing the offering of the
Units by the Company as filed with the United States Securities and Exchange
Commission, and is not relying upon any information other than that contained in
the Prospectus and the Exhibits or obtained through any independent
investigation conducted by you at your expense.
3. Acceptance of Subscription and Delivery of
Shares. This Subscription Agreement is made subject to the Company’s
discretionary right to accept or reject the Subscription herein. If
the Company for any reason rejects this Subscription, the Subscription will be
refunded in full, without interest, and this Subscription Agreement shall be
null, void and of no effect. Acceptance of this Subscription by the
Company will be evidenced by the execution hereof by an officer of the
Company. Delivery of the Units subscribed for herein will be made by
Continental Stock Transfer and Trust Company upon completion of this Offering in
accordance with the provisions set forth in the Prospectus, including the
requirement that all 100,000 Units offered are fully subscribed
for.
The
undersigned hereby executes this Subscription Agreement as of the ____ day of
__________, 2009, at ________________________ (city)
, _______________________ (state or country)
Subscriber
Information:
Name(s):
_________________________________________________________
Address:
_______________________________________________________
_______________________________________________________
State or
Country: _______________________________Postal Code:______________
E-mail
Address (optional) _______________________________________
EIN/
Social Security Number (if U.S. subscriber):____________________
Check
one: / / Individual / / Joint
Tenants / / Tenants-In-Common / /
Trust
/ /
Corporation, LLC or Limited Partnership / / Custodian
UGMA
PLEASE
DELIVER THIS SUBSCRIPTION AGREEMENT DIRECTLY TO OUR OFFICE AT:
000 Xxxx
0000 Xxxxx
Xxxxx,
XX 00000
REF:
InnerLight Special Escrow
Payment
must accompany your Subscription and shall be made by check or money order
payable to “Xxxxxxx X. Xxxxxx, Esq., Escrow Agent”.
