Exhibit 99
SUBSCRIPTION AGREEMENT
FOR
INTERNATIONAL CELLULAR ACCESSORIES
COMMON STOCK ($.05 PER SHARE)
Persons interested in purchasing common stock of International Cellular
Accessories must complete and return this Subscription Agreement along with
their check or money order to: INTERNATIONAL CELLULAR ACCESSORIES ("the Issuer")
("the Company").
Subject only to acceptance hereof by the Issuer, in its discretion, the
undersigned hereby subscribes for the number of common shares and at the
aggregate subscription price set forth below.
An accepted copy of this Agreement will be returned to the Subscriber as a
receipt, and the physical stock certificates will be delivered to each Investor
within thirty (30) days of the Close of this Offering.
SECURITIES OFFERED - The Company is offering a total of 1,000,000 shares of
its common stock (par value $.001 per share) at a price of $.05 per share. There
is no minimum subscription amount.
SUBSCRIPTION - In connection with this subscription the undersigned hereby
subscribes to the number of common shares shown in the following table.
NUMBER OF COMMON SHARES = ___________________
Multiply by Price of Shares x $.05 per Share
Aggregate Subscription Price = $___________________
Check or money order shall be made payable to International Cellular
Accessories.
In connection with this investment in the Company, I represent and warrant as
follows:
a) Prior to tendering payment for the shares, I received a copy of and read your
prospectus dated ______________, 2005.
b) I am a bona fide resident of the state of ________________________________ or
______ a non-US resident.
c) The Issuer and the other purchasers are relying on the truth and accuracy of
the declarations, representations and warranties herein made by the undersigned.
Accordingly, the foregoing representations and warranties and undertakings are
made by the undersigned with the intent that they may be relied upon in
determining his/her suitability as a purchaser. Investor agrees that such
representations and warranties shall survive the acceptance of Investor as a
purchaser.
Please register the Shares, which I am purchasing in the following name(s):
________________________________________________________________________________
As (check one)
__ Individual __ Tenants in Common __ Existing Partnership
__ Joint Tenants __ Corporation __ Trust
__ XXX __ Minor with adult custodian under
the Uniform Gift to Minors Act
For the person(s) who will be registered shareholder(s):
________________________________ ________________________________
Signature of Subscriber Signature of Co-Subscriber
________________________________ ________________________________
Name of Subscriber (Printed) Name of Co-Subscriber (Printed)
________________________________ ________________________________
Address Address of Co-Subscriber
________________________________ ________________________________
Address Address of Co-Subscriber
________________________________ ________________________________
Telephone Telephone of Co-Subscriber
________________________________ ________________________________
Subscriber Tax I.D. or Co-Subscriber Tax I.D. or
Social Security Number Social Security Number
ACCEPTED BY: International Cellular Accessories, a Nevada Corporation
By: _____________________________ Date: ______________________________
Officer
