XXXXXXXXXX.XXX, INC.
SUBSCRIPTION AGREEMENT
200,000 Units
$.50 per Unit
Each Unit consists of:
one share of common stock, $0.001 par value
one class A warrant exercisable for one common share at $1.00
one class B warrant exercisable for one common share at $1.50
Each warrant is exercisable for one share for two years
from the date of this prospectus.
The undersigned, having received the Prospectus for XXXXXXXXXX.XXX,
INC., hereby offers to purchase units at the offering price.
The offer is subject to receipt of funds and acceptance by the Company.
SUBSCRIPTION: AMOUNT: $__________________ NO. OF
UNITS___________________
I enclose the amount indicated above as full payment for the units
subscribed to at $.50 per unit.
PLEASE MAKE YOUR CHECK PAYABLE TO:
WORLD TRADE FINANCIAL CORP.- XXXXXXXXXX.XXX, INC. ESCROW ACCOUNT
MAIL TO: XXXXXXXXXX.XXX, INC.
c/o Xxxxxx X. Xxxxxx, Xx.
000 Xxxxx Xxxxx
Xxx Xxxxx, XX 00000-0000
_____________________________________________________________________________
Subscribers' Name(s) and Social Security Number(s) (PLEASE PRINT)
_____________________________________________________________________________
Street Address
_____________________________________________________________________________
City State/Zip Telephone
Instructions for Issuing Certificate (Please xxxx one below)
_______ 1. Individual
_______ 2. Joint Tenancy with Right of Survivorship
_______ 3. Tenants in Common
_______ 4. Gift to Minor (name of minor:
_________________________________________________________
_______ 5. Other (name/type of entity):
___________________________________________________________
___________________________________________________ Date: ________________
Subscriber's Signature(s)
___________________________________________________ Date: ________________
Subscriber's Signature(s)
Accepted: XXXXXXXXXX.XXX, INC.
By: ________________________________________________ Date: ________________
