EXHIBIT 99.1
SUBSCRIPTION AGREEMENT
InTake Communications, Inc.
0000 Xxxx Xxxxx Xxxx
Xxxxxx, XX 00000
A. Instructions.
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Each person considering subscribing for the Shares should review the
following instructions:
Subscription Agreement: Please complete, execute and deliver to the
Company the enclosed copy of the Subscription Agreement. The Company will
review the materials and, if the subscription is accepted, the Company
will execute the Subscription Agreement and return one copy of the
materials to you for your records.
The Company shall have the right to accept or reject any subscription, in
whole or in part.
An acknowledgment of the acceptance of your subscription will be returned
to you promptly after acceptance.
Payment: Payment for the amount of the Shares subscribed for shall be made
at the time of delivery of the properly executed Subscription Agreement,
or such date as the Company shall specify by written notice to subscribers
(unless such period is extended in the sole discretion of the President of
the Company), of a check or wire transfer of immediately available funds
to the Company at the address set forth below or an account specified by
the Company. The closing of the transactions contemplated hereby (the
"Closing") will be held on 90 days from ___________, 20__ or such earlier
date specified in such notice.
There is no minimum aggregate amount of Shares which must be sold as a
condition precedent to the Closing, and the Company may provide for one or
more Closings while continuing to offer the Shares that constitute the
unsold portion of the Offering.
B. Communications.
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All documents and check should be forwarded to:
InTake Communications, Inc.
0000 Xxxx Xxxxx Xxxx
Xxxxxx, XX 00000
Attention: Xxx Xxxxxx
SUBSCRIPTIONS ARE SOLD IN $500 INCREMENTS ONLY.
THE PURCHASE OF SHARES OF INTAKE COMMUNICATIONS, INC. INVOLVES A HIGH DEGREE OF
RISK AND SHOULD BE CONSIDERED ONLY BY PERSONS WHO CAN BEAR THE RISK OF THE LOSS
OF THEIR ENTIRE INVESTMENT.
EVERY POTENTIAL INVESTOR PRIOR TO ANY INVESTMENT OR PURCHASE OF INTAKE
COMMUNICATIONS, INC.'S SHARES SHOULD READ THE PROSPECTUS RELATING TO THIS
OFFERING.
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InTake Communications, Inc.
0000 Xxxx Xxxxx Xxxx
Xxxxxx, XX 00000
SUBSCRIPTION AGREEMENT SIGNATURE PAGE
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The undersigned (the "Subscriber") hereby irrevocably subscribes for that number
of Shares set forth below, upon and subject to the terms and conditions set
forth in the Corporation's Effective Final Prospectus filed on Form S-1/A and
dated on or around _________________, 20__.
SUBSCRIPTIONS ARE SOLD IN $500 INCREMENTS ONLY.
Total Number of Shares to be Acquired: _____________________________
Amount to be Paid (price of $0.01 per Share): _____________________________
IN WITNESS WHEREOF, the undersigned has executed this Subscription Agreement
this ________ of ________________________________, 20__.
NAME: (PRINT) as it should appear on the Certificate: __________________________
ADDRESS: _______________________________________________________________________
_______________________________________________________________________
If Joint Ownership, check one (all parties must sign above):
|_| Joint Tenants with Right of Survivorship
|_| Tenants in Common
|_| Community Property
If Fiduciary or a Business or an Organization, check one:
|_| Trust
|_| Estate
|_| Power of Attorney
Name and Type of Business Organization: ________________________________________
IDENTIFICATION AUTHENTICATION REQUIRED:
---------------------------------------
Below is my (circle one) Social Security # - Passport# - Drivers License# - Tax
ID# - Other ___________________
# ____________________________________________
SIGNATURE: ___________________________________
ACCEPTANCE OF SUBSCRIPTION
The foregoing Subscription is hereby accepted for and on behalf of InTake
Communications, Inc.
this _______ day of ____________________________, 2010.
By: _________________________________________
Xxx Xxxxxx, President
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