SUBSCRIPTION AGREEMENT
Cove Apparel, Inc.
0000 Xxxxxxxx, Xxxxx 00
Xxx Xxxxxxxx, Xxxxxxxxxx 00000
The undersigned has received the prospectus dated May 28, 2003 ("Prospectus"),
and hereby subscribes for _______________shares of $.001 par value common stock
of Cove Apparel, Inc., a Nevada corporation ("Company"), for a subscription
price of $0.10 per share ("Offered Shares"). The undersigned hereby agrees that
this subscription shall be irrevocable and shall survive the death or disability
of the undersigned. Payment of the purchase price for the Offered Shares is due
upon subscription.
The undersigned acknowledges that (i) the Company has the right to accept or
reject this subscription in whole or in part, (ii) this subscription shall be
deemed to be accepted by the Company only when the Company signs this
Subscription Agreement; (iii) the undersigned has relied only on that
information specified in the Prospectus; and (iv) THE UNDERSIGNED ACKNOWLEDGES
THAT U.S. BANK IS ACTING SOLELY AS ESCROW HOLDER IN CONNECTION WITH THE OFFERING
OF THE SHARES AND MAKES NO RECOMMENDATION WITH RESPECT THERETO. U.S. BANK HAS
MADE NO INVESTIGATION REGARDING THE OFFERING, THE COMPANY, OR ANY OTHER PERSON
OR ENTITY INVOLVED IN THE OFFERING. IN ADDITION, ESCROW HOLDER DOES NOT
GUARANTEE REPAYMENT OF ANY SECURITIES PURCHASED BY INVESTORS IN THE OFFERING.
Number of Offered Shares:_____________________. Subscription Amount:___________
(number of Offered Shares multiplied by $0.10)
Make check payable to: "US Bank N.A., fbo Cove Apparel, Inc. Impound Account"
Please print name(s) or title, residence address, and SSN or Tax ID for which
the Offered Shares are to be registered.
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Name
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Xxxxxx
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Xxxx Xxxxx Zip Code
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SSN or Tax ID No. (For joint ownership, both parties must provide a Social
Security Number or similar tax identification)
Indicate type of ownership:
[ ] Individual Ownership [ ] Joint Tenants with Right of
Survivorship
[ ] Community Property [ ] Tenants in Common
[ ] Tenants by the Entirety [ ] Corporate Ownership
[ ] Partnership Ownership [ ] Custodian for a Minor
[ ] Trust (see below) [ ] XXX or Pension Plan
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Date Trust Established:
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Name of Trustee or other Administrator
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EACH SUBSCRIBER REPRESENTS THAT:
(a) The information contained herein is complete and accurate and may be
relied upon, and
(b) The undersigned will notify the Company immediately of any material
change in any such information occurring prior to the acceptance of
the undersigned's subscription.
(c) THE UNDERSIGNED ACKNOWLEDGES THAT X.X.XXXX IS ACTING SOLELY AS ESCROW
HOLDER IN CONNECTION WITH THE OFFERING OF THE SHARES AND MAKES NO
RECOMMENDATION WITH RESPECT THERETO. U.S. BANK HAS MADE NO
INVESTIGATION REGARDING THE OFFERING, COVE APPAREL, OR ANY OTHER
PERSON OR ENTITY INVOLVED IN THE OFFERING. IN ADDITION,
ESCROW HOLDER DOES NOT GUARANTEE REPAYMENT OF ANY SECURITIES PURCHASED
BY INVESTORS IN THE OFFERING.
IN WITNESS WHEREOF, the undersigned has executed this Subscription Agreement as
of this ______ day of ____________ 2003.
FOR INDIVIDUALS:
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Print Name
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Signature
NAME AND SIGNATURE OF JOINT TENANT OR TENANT IN COMMON
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Print Name
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Signature
FOR TRUSTS, CORPORATIONS, PARTNERSHIPS
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Print Name of Entity
By:
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Print name and capacity (Trustee, President or General Partner)
of person making investment decision
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Signature
Agreed to and accepted:
By: Cove Apparel, Inc.,
a Nevada corporation
By:
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Xxxxxx Xxxxxxx
Its: President
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