SUBSCRIPTION AGREEMENT
EXHIBIT 99.2
Countryside Review Inc.
0000 Xxxxxxxx Xxxxxx
Xxxxxxxxx, Xxxxxxx Xxxxxxxx
Xxxxxx X0X 0X0
Dear Sirs:
Concurrent with execution of this Agreement, the undersigned (the "Purchaser") is purchasing ________________ shares of Common Stock of COUNTRYSIDE REVIEW INC. (the "Company") at a price of $0.10 per Share (the "Subscription Price").
Purchaser hereby confirms the subscription for and purchase of said number of Shares and hereby agrees to pay herewith the Subscription Price for such Shares.
Purchaser further confirms that Xxxx Xxxxx, Xxxxxxxxxx Xxxxx, Xxxx Xxxxxxx solicited him/her/it to purchase the shares of Common Stock of the Company and no other person participated in such solicitation other than Xxxx Xxxxx, Xxxxxxxxxx Xxxxx, Xxxx Xxxxxxx.
MAKE CHECK PAYABLE TO: COUNTRYSIDE REVIEW INC.
Executed this _____ day of ________________, _______, at _____________________ (Street Address), ___________________ (City), _________________ (State) ________ (Zip/Postal Code).
___________________________________
Signature of Purchaser
___________________________________
Printed Name of Purchaser
___________________________________
Social Security Number/
Tax I.D.
|
Number of Shares Purchased |
Total Subscription Price ________________________ |
|
Form of Payment: |
Cash ____________ |
Check# ___________ |
Other ____________ |
ACCEPTED THIS _____ DAY OF ________________, _______.
BY: _________________________________
Title: _______________________________
-60-
