Name of Subscriber Sample Clauses

Name of Subscriber. (please print) Date: , 2011 If Joint Ownership, check one: If fiduciary, partnership, limited liability company or corporation, etc., check one: Joint Tenants with Trust Right of Survivorship Estate Tenants in Common Corporation Community Property Partnership Limited Liability Company Power of Attorney Uniform Gift to Minors Act Custodian Individual Retirement Account Other: Signature of Individual Subscriber Signature of Joint Investor (if any) (All joint owners must sign) If Subscriber is an Entity, Name of Entity By: Title:

Name of Subscriber. SIGNATURE: -------------------------------------------------------------------------------- (Signature(s) of subscriber(s) exactly as name(s) appear above) Dated: ______________, 199___ If signature is by trustee(s), executor(s), administrator(s), guardian(s), attorney(s)-in-fact, agent(s), officer(s) of a corporation or another acting in a fiduciary or representative capacity, please provide the following information as to such person. Name (please print) -------------------------------------------------------------------------------- Capacity (Full title) -------------------------------------------------------------------------------- Address (including ZIP Code) -------------------------------------------------------------------------------- Business Telephone Number (including area code) -------------------------------------------------------------------------------- Taxpayer identification or Social Security Number --------------------------------------------------------------------------------

Name of Subscriber. Instructions: This “Subscriber’s Representative Questionnaire” (the “Questionnaire”) is being sent to each potential subscriber who has indicated an interest in purchasing “Units” in the capital stock of Zoro Mining Corp., a Nevada corporation (the “Company”). The purpose of this Questionnaire is, in part, to allow the Company to have complete information about the subscriber and, in addition, to assure the Company that it may rely on, if applicable, the exemption from the registration requirements under the United States Securities Act of 1933, as amended (the “U.S. Act”) afforded by “Regulation D” promulgated thereunder (the “Regulation”). The Regulation requires that, in order for an issuer, such as the Company, of securities, such as the Units, to rely on the exemption afforded thereby, the Company may only sell the Units to “Accredited Investors”. Eligibility is determined, among other things, by the ability of the Subscriber either alone or with his representative (herein the “Representative”) to evaluate the merits and risks of an investment in the Units, based on his knowledge and experience in financial and business matters, or by certain financial criteria. If the answer to any question is “None” or “Not Applicable” please so state. Your answers will at all times be kept strictly confidential. However, by signing this Questionnaire, the Representative agrees that the Company may present this Questionnaire to such parties as may be appropriate if called upon to verify the information provided or to establish the availability of an exemption from registration of the private placement under the federal or state securities laws or if the contents are relevant to issue in any action, suit or proceeding to which the Company is a party or by which it is or may be bound. A false statement by the Representative may constitute a violation of law, for which a claim for damages may be made against the Representative and, if applicable, the Subscriber. This Questionnaire does not constitute an offer of Units by the Company, but is merely a request for information. Please complete the following Questionnaire fully, attaching additional sheets if necessary.

Name of Subscriber. By: --------------------------------------- Name: Title: