Exhibit 1.1
SUBSCRIPTION AGREEMENT
INVESTOR SUBSCRIPTION AGREEMENT FOR BELLACASA PRODUCTIONS, INC.
Persons interested in purchasing units of BellaCasa Productions, Inc.
must return this completed subscription agreement along with their wire
transfer, check or money order for their total payment, payable only to:
BELLACASA PRODUCTIONS, INC.
Universal Studios, 100 Universal City Xxxxx
Xxxxxxxx #000, Xxxxx 000
Xxxxxxxxx Xxxx, XX 00000
If and when accepted by us, this subscription agreement shall
constitute a subscription for units consisting of one share of our common stock
and one Class A warrant and one Class B warrant.
An accepted copy of this agreement will be returned to you as your
receipt, and certificates for your stock and warrants will be issued to you
shortly thereafter.
Method of payment: (CIRCLE ONE) Check, Money Order, Wire [phone: (818)
000-0000 or fax: (000) 000-0000 for instructions] payable only to: BellaCasa
Productions, Inc.
I hereby irrevocably tender this subscription agreement for the
purchase of _________ units at $1.00 per unit. With this subscription Agreement,
I tender payment in the amount of $__________ for the units subscribed.
In connection with this investment, I represent and warrant as follows:
(a) Prior to tendering payment for the units, I received your
final Prospectus dated ____________________________ 2001.
(b) I am a bona fide resident of the state of _______________.
Please issue the securities, which I am purchasing as follows:
Individual(s) -- if more than one owner, please issue as follows:
[ ] Tenants-in-Common (all parties must sign -- each investor has an
undivided interest)
[ ] Joint Tenants with Right of Survivorship (all parties must sign
joint ownership)
[ ] Adult Custodian for Minor under the Uniform Gift to Minors Act in
your state [the minor will have sole beneficial ownership]:
______________________________________(Custodian's name), UGMA of
_______________(State) for _________________________(Minor's name)
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INVESTOR XX. 0 XXXXXXXX XX. 0
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Street (residence address) Street (residence address)
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City State Zip City State Zip
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Home Phone Business Phone Home Phone Business Phone
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Fax E-mail Fax E-mail
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Social Security Number Social Security Number
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Signature Date Signature Date
ACCEPTED BY: BellaCasa Productions, Inc.
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Name, Title Date
SUBSCRIPTION FORM FOR OTHER THAN INDIVIDUAL
Purchasers of units of BellaCasa Productions, Inc., other than
individuals, must complete this form for the proper entity that will hold title
to the units. Send this completed subscription agreement along with the proper
wire transfer, check or money order for the total payment, payable only to:
BellaCasa Productions, Inc.,
Universal Studios, 100 Universal City Xxxxx
Xxxxxxxx #000, Xxxxx 000
Xxxxxxxxx Xxxx, XX 00000
If and when accepted by us, this subscription agreement shall
constitute a subscription for units consisting of one share of our common stock
and one Class A warrant and one Class B warrant.
An accepted copy of this agreement will be returned to you as your
receipt, and certificates for your stock and warrants will be issued to you
shortly thereafter.
Method of payment: (CIRCLE ONE) Check, Money Order, Wire [phone: (818)
000-0000 or fax: (000) 000-0000 for instructions] payable only to: BellaCasa
Productions, Inc.
ENTITY:
[ ] CORPORATION (authorized agent of corporation must sign)
[ ] EXISTING PARTNERSHIP (at least one partner must sign)
[ ] TRUST (all trustees must sign)
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Name of Entity
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Authorized Agent (print name above)
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Title of Authorized Agent
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Social Security or Federal Identification Number of Entity
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Street (business address) or address of Registered Agent
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City State Zip
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Business Telephone or Home Telephone of Registered Agent
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Fax E-mail
The undersigned acknowledges that the foregoing information is true, accurate,
and complete.
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Name Date
For a Trust, all Trustees must sign. Add a line for each to the right of form.
ACCEPTED BY: BellaCasa Productions, Inc.
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Name, Title Date
