REFERENCE 1.1
SUBSCRIPTION AGREEMENT
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Hojo Holdings, INC.
SUBSCRIPTION AGREEMENT
Gentlemen:
The Investor named below, by payment of the purchase price for common shares, by
the delivery of a check payable to Hojo HOLDINGS, INC., subscribes for the
purchase of the number of common shares indicated below of HOJO HOLDINGS, INC.,
at a purchase of $0.05 per Share as set forth in the prospectus.
By making the 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.
A. INVESTMENT: (1) Number of shares ___________
(2) Total Contribution ($0.05/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) ( ) ______________________
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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:
Registered Owner:_____________________________
Co-Owner:____________________________________
Print Name of Custodian or Trustee:______________________________________
Authorized Signature:___________________________
Date:_____________________ Witness _______
Signature_____________________________________
MAIL TO:
Hojo Holdings, Inc.
00 Xxxxxxxxxx Xxxx
Xxxx Xxxxx, Xxx Xxxx 00000
Telephone 000.000.0000
facsimile 516.670.0564
OFFICE USE ONLY:
Date Received:__________________________________
Date Accepted/Rejected_________________________________________
Subscriber's Check Amount:_______________________
Check No.___________________
Date Check ________________
Deposited________________________________
MR #________________
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