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SUBSCRIPTION AGREEMENT
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_______________, 2003
Board of Directors
Cemreil Group, Inc.
0000 Xxxxx Xxxxx
Xxxxxxxx, Xxxxxxxxxx 00000
Dear Xx. Xxxxx and Xx. Xxxxxx:
In connection with your offer and my purchase of _______ shares of common
stock, as described in the Prospectus to which this Subscription Agreement is
attached, of Cemreil Group, Inc., a Colorado corporation, at a subscription
price of $2.00 per share (for an aggregate purchase price payable by me of
$___________), I hereby represent, warrant, covenant and agree with you that at
the time of such offer and purchase and as of the date of this Subscription
Agreement:
1. I am over the age of twenty-one years.
2. I represent and warrant that I am a resident of the state in which
this offer is made insofar as I occupy a dwelling within the state and I intend
to remain within the state for an indefinite period of time. Further, if the
undersigned is not a resident of the state in which the offer is made, then the
undersigned represents and warrants that he is not a resident of any other state
or possession of the United States.
3. I have received the Prospectus of Cemreil Group, delivery of which by
you to me has preceded the closing under this Subscription Agreement and my
purchase of the shares.
The subscription made by this Subscription Agreement is subject to
acceptance by Cemreil Group in its sole discretion; which acceptance shall be
evidenced by Cemreil Group's signing and delivering to me at the address set
forth on the signature page hereof a fully-executed counterpart of this
Subscription Agreement. In the event that Cemreil Group shall reject my
subscription, the purchase price for the shares shall be refunded promptly to me
without interest or deduction.
1
Attached to and incorporated in that certain Subscription Agreement attached to
that certain Prospectus of Cemreil Group, Inc.
Very truly yours,
Individuals execute below: Corporations, partnerships, trusts
and other entities execute below:
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Name (please type or print) Name (please type or print)
By:
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(Signature) (Signature of authorized officer,
partner or trustee)
Attest:
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Name (please type or print) (Signature)
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(Signature) (Address)
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(Address) (Address)
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(Home Telephone) (Tax Identification Number)
2
Attached to and incorporated in that certain Subscription Agreement attached to
that certain Prospectus of Cemreil Group, Inc.
Individuals execute below:
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(Office Telephone)
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(Social Security Number)
ACCEPTED this ___ day of _________, 2003.
CEMREIL GROUP, INC.
By: __________________________
Xx. Xxxxx Xxxxx, President
ATTEST:
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(Signature)
3
