Number of Shares Subscribed For. Aggregate purchase price (number of Shares x $8.00): $__________ Amount of wire transfer: $__________ NAME(S) IN WHICH SHARES ARE TO BE REGISTERED: -------------------------------------------------------------------- 49 Address to which Stock Certificates should be delivered: ----------------------------- ----------------------------- -----------------------------
Number of Shares Subscribed For. Signature of Subscriber: ----------------------------------- Name of Subscriber: ----------------------------------- Address of Subscriber: ----------------------------------- Subscribers Social Security No. ----------------------------------- ACCEPTED BY: CONCRETE CASTING INCORPORATED Signature of Authorized Signatory: ------------------------------------ Name of Authorized Signatory: ------------------------------------- Position of Authorized Signatory: -------------------------------------
Number of Shares Subscribed For. 2. Payment tendered (number of Shares subscribed for multiplied by $<>): _______________ Payments can be made in cash or by check, bank draft or postal express money order payable to New Energy Technologies, Inc. or by wire transfer of funds as follows: FORWARD THIS SUBSCRIPTION AGREEMENT TO NEW ENERGY TECHNOLOGIES, INC. AT: 0000 XXXXXXXX XXXXX XXXXX 000 XXXXXXXXXXXX, XXXXXXXX 00000 Attention: President and Chief Executive Officer In connection with the offer and sale of the Shares, the Company reserves the right, in its sole discretion, to reject any subscription in whole or in part for any reason whatsoever notwithstanding the tender of payment at any time prior to its acceptance of any subscriptions. This Subscription Agreement does not constitute an offer to sell or a solicitation of any offer to buy any Shares by anyone in any jurisdiction in which such offer or solicitation is not qualified to do so or to anyone to whom it is unlawful to make such offer or solicitation. The shares have not been registered in the State of Florida. The sale of the shares pursuant to this Subscription Agreement in the State of Florida shall be voidable by the Purchaser within three days after the receipt of consideration from such purchaser by New Energy Technologies, Inc. Florida residents hereby represent that they have such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of the investment in New Energy Technologies, Inc. and they are able to bear the economic risk to such investment. SIGNATURE PAGE TO THE NEW ENERGY TECHNOLOGIES, INC. SUBSCRIPTION AGREEMENT _____________________________ _____________________________ Signature Date ____________________________ _____________________________ Print Name of Purchaser Soc. Sec. or Tax ID No. ___________________________________________________________________________ Address for Delivery of Shares ___________________________________________________________________________ Telephone Number Facsimile Number ____________________________________________________________________________ Email Address
Number of Shares Subscribed For. Number of Warrants Subscribed For (30% of the Number of Shares): Aggregate Purchase Price (see Section 1.1): $ The Investor hereby provides the following additional information:
Number of Shares Subscribed For. Signature of Subscriber: ------------------------------------------------ Name of Subscriber: ------------------------------------------------ Address of Subscriber: ------------------------------------------------ ------------------------------------------------ 2 <PAGE> ACCEPTED BY: BAIXO RELOCATION SERVICES, INC. Signature of Authorized Signatory: ---------------------------------------------- Name of Authorized Signatory: ----------------------------------------------
Number of Shares Subscribed For. (Minimum is One (1)): _________________________ Subscription Amount Delivered At US$1,000.00 Per Share: $__________ (You must pay the Subscription Amount pursuant to the instructions set forth above. To the extent the actual number of Shares purchased and received by the undersigned is different than the number subscribed for, the Company may amend this agreement to reflect the actual number of Shares purchased and received by the undersigned.). By: By: (Signature of Purchaser) (Signature of Purchaser) (Print Name of Purchaser) (Print Name of Purchaser) (State of Residence or Principal Office) (State of Residence or Principal Office)) (Social Security or Tax ID No.) (Social Security or Tax ID No.)
Number of Shares Subscribed For. (All Subscribers should please print information below exactly as they wish it to appear in the records of the Company.) Social Security Number of Individual or Other Taxpayer I.D. Number Address: Number and Street City State Zip Code Please check the box to indicate the form of ownership (if applicable): TENANTS-IN-COMMON JOINT TENANTS WITH RIGHT OF (Both parties must sign above) SURVIVORSHIP (Both parties must sign above) TENANTS BY THE ENTIRETIES (Both parties must sign above)
Number of Shares Subscribed For. Total subscription price payable: ($3.00 x number of Shares): -------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- PURCHASER INFORMATION --------------------- Name of Purchaser: ------------------------------------------------------ Street Address: ------------------------------------------------------ Street Address (2): ------------------------------------------------------ City and State: ------------------------------------------------------ Zip Code: ------------------------------------------------------ Contact Name: ------------------------------------------------------ Alternate Contact: ------------------------------------------------------ Phone No.: ------------------------------------------------------ Fax No: ------------------------------------------------------ -------------------------------------------------------------------------------- CHINA GRANITE CORPORATION 6 Subscription Agreement -------------------------------------------------------------------------------- REGISTRATION INFORMATION ------------------------ Registration of the certificates representing the Shares should be made exactly as follows (if space is insufficient, attach a list): Name of Purchaser: ------------------------------------------------------ Street Address: ------------------------------------------------------ Street Address (2): ------------------------------------------------------ City and State: ------------------------------------------------------ Zip Code: ------------------------------------------------------ Contact Name: ------------------------------------------------------ Alternate Contact: ------------------------------------------------------ Phone No.: ------------------------------------------------------ Fax No: ------------------------------------------------------ -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- DELIVERY OF CERTIFICATES ------------------------ The certificates representing the Shares are to be delivered as follows (if different from the address(es) set forth "Registration Information" above): Name of Purchaser: ------------------------------------------------------ Street Address: ------------------------------------------------------ Street Address (2): -----------------------------...
Number of Shares Subscribed For. (Minimum is One (1)): _________________________ Subscription Amount Delivered At US$1,000.00 Per Share: $__________ Please make your payment out to: “La Rxxx Holdings Corp.”. You may pay by bank check or wire funds to: Regions Bank Routing #: 000000000 Account #: 0315375366 Address: Regions Bank, 1000 XX 00xx Xxxxxx, Xxxxx, Xxxxxxx 00000 Account Title: La Rxxx Holdings Corp. (You must pay the Subscription Amount pursuant to the instructions set forth above. To the extent the actual number of Shares purchased and received by the undersigned is different than the number subscribed for, the Company may amend this agreement to reflect the actual number of Shares purchased and received by the undersigned.). By: (Signature of Purchaser) By: (Signature of Purchaser) _________________________________________ (Print Name of Purchaser) _________________________________________ (Print Name of Purchaser) _________________________________________ (State of Residence or Principal Office) _________________________________________ (State of Residence or Principal Office)) _________________________________________ (Social Security or Tax ID No.) _________________________________________ (Social Security or Tax ID No.) _________________________________________ (Mailing Address: Street Address) _________________________________________ (Mailing Address: Street Address) _________________________________________ (Mailing Address: City, State Zip) _________________________________________ (Mailing Address: City, State Zip) _________________________________________ (E-Mail Address) _________________________________________ (E-Mail Address) _________________________________________ (Telephone Number) _________________________________________ (Telephone Number) ☐ I agree to receive notices via e-m ☐ I agree to receive notices via e-mail. Please indicate name and capacity of person(s) signing if Purchaser is not a natural person: Name of Entity: _____________________ Name of Entity: _____________________ Title of Signer: _____________________ Title of Signer: _____________________ Date: _____________________________ Date: _____________________________
Number of Shares Subscribed For. Price Per Share Total Subscription Amount ($) Class C Preference Shares $5.00 Signature of Purchaser Date (mm/dd/yyyy)
