Subscription To Corporate Stock

FOR VALUABLE CONSIDERATION RECEIVED, I hereby agree to purchase ______ shares of the capital stock of ___________________ (hereinafter "Corporation") at a price per share for a total amount of _________________ dollars ($____). The total purchase price will be paid to the Corporation on or before the date of _________, 20 __.

THE SHARES PURCHASED will have rights and privileges equal to the rights and privileges of all shares of the same class of stock. The shares I am purchasing equals _______ percent (___%) of all issued and outstanding stock of the same class and ______ percent (__%) of all of the total issued and outstanding stock of the corporation.

_________________________________

Agreed to and accepted Purchaser

For the Above-Mentioned Corporation

_______________________________

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