Exhibit 99.1
SUBSCRIPTION AGREEMENT
CALIFORNIA CLEAN AIR, INC.
Persons interested in purchasing shares of Common Stock ("Shares") of
California Clean Air, Inc. ("Company") must complete and return this
Subscription Agreement with their subscription payment to:
California Clean Air, Inc.
3790 Xxx xx xx Xxxxx, Xxxxx 000
Xxx Xxx, Xxxxxxxxxx 00000
If and when accepted by Company, this Subscription Agreement shall
constitute an irrevocable subscription for the Shares.
The undersigned irrevocably tenders this Subscription Agreement for the
purchase of ______________ Shares of the Company at a price of $1.00 per share.
With this Subscription Agreement, the undersigned tenders payment in the amount
of $_________________.
At the request of the Company, the undersigned agree to promptly execute and
deliver to the Company such other instruments or documents as may be reasonably
required in connection with this Subscription Agreement. The undersigned agree
that this Subscription Agreement shall be binding upon their respective heirs,
legatees, executors, personal representatives, administrators, successors and
assigns.
This Subscription Agreement will be governed by the laws of the State of
California.
(CHECK ONE)
[ ] Individual One signature required. [ ] Existing Partnership All partners must sign.
[ ] Joint Tenants With Right of Survivorship - all parties [ ] Corporation Authorized agent of
must sign. corporation must sign.
[ ] Tenants-in-Common All parties must sign. [ ] Trust Trustee must sign.
The undersigned requests that the Shares be registered in the name of:
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Subscriber No. 1 Signature Subscriber No. 2 Signature
Name Name
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Street (xxxxxxxxx xxxxxxx) Xxxxxx (residence address)
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City, State, Zip City, State, Zip
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Home Phone Home Phone
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Social Security Number Date of Birth Social Security Number Date of Birth
or Federal I.D. Number or Federal I.D. Number
ACCEPTED:
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Signature Date
