EXHIBIT 1.1
SUNDEW INTERNATIONAL, INC.
SUBSCRIPTION AGREEMENT
Gentlemen:
The Investor named below, by payment of the purchase price for such
Common Shares, by the delivery of a check payable to Sundew
International, Inc., hereby subscribes for the purchase of the
number of Common Shares indicated below of Sundew International,
Inc., at a purchase of $0.50 per Share as set forth in the Prospectus.
By such payment, the named Investor further acknowledges receipt of
the Prospectus and the Subscription Agreement, the terms of which
govern the investment in the Common Shares being subscribed for hereby.
A. INVESTMENT: (1) Number of Shares ___________________________
(2) Total Contribution ($0.50/Share) $__________
Date of Investor's check ___________
B. REGISTRATION:
(3) Registered owner: __________________________
Co-Owner: __________________________________
(4) Mailing address: ___________________________
City, State & zip: _________________________
(5) Residence Address (if different from above):
============================================
(6) Birth Date: ______/______/______
(7) Employee or Affiliate: Yes ______ No ______
(8) Social Security: #: ______/______/______
U.S. Citizen [ ] Other [ ]
Co-Owner Social Security:
#: ______/______/______
U.S. Citizen [ ] Other [ ]
Corporate or Custodial:
Taxpayer ID #: ______/______/______
U.S. Citizen [ ] Other [ ]
(9) Telephone (H) ( ) ______________________
C. OWNERSHIP [ ] Individual Ownership [ ] XXX or Xxxxx
[ ] Joint Tenants with Rights of Survivorship
[ ] Trust/Date Trust Established_______________
[ ] Pension/Trust (S.E.P.)
[ ] Tenants in Common [ ] Tenants by the
Entirety
[ ] Corporate Ownership [ ] Partnership
[ ] Other_____________________
D. SIGNATURES: By signing below, I/we represent that I/we meet the
suitability standards set forth in the prospectus.
Registered Owner: _____________________________
Co-Owner: _____________________________
Print Name of Custodian or Trustee: _____________________________
Authorized Signature: _____________________________
Date: _____________________
Signature: ___________________________________
MAIL TO:
Sundew International, Inc.
0000 Xxxxxxxx Xxxxxx
Xxxxx #000
Xxxxxxxxxxxx, XX 00000
Telephone: 000-000-0000
Facsimile: 000-000-0000
______________________________________________________________________________
FOR OFFICE USE ONLY:
Date Received: ________________________________________________
Date Accepted/Rejected ________________________________________
Subscriber's Check Amount: _______________________
Check No. ___________________ Date Check ________________
Deposited ________________________________
MR #________________
