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: ------------------------------------------------------------------------------------------ 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 $.05): _______________ Payments can be made in cash or by check, bank draft or postal express money order payable to Xxxxxxx Xxxxxx Xxxxxxxxx & Kakoyiannis, P.C., as Escrow Agent. Forward this Subscription Agreement to Flagstick Ventures, Inc. at 0000 00xx Xxxxxx XX, Xxxxxx, Xxxxxxx 00000 and payment to Xxxxxxx Xxxxxx Xxxxxxxxx & Kakoyiannis at 000 Xxxxx Xxxxxx, Xxx Xxxx, Xxx Xxxx 00000. 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 the escrow agent. 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 Flagstick Ventures, Inc. and they are able to bear the economic risk to such investment. EXECUTION _____________________________ ________________________________________ Signature Date _____________________________ ________________________________________ Print Name of Purchaser Soc. Sec. or Tax ID No. ________________________________________________________________________________ Address & Telephone Number
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: ------------------------------------------------ ------------------------------------------------ ACCEPTED BY: BAIXO RELOCATION SERVICES, INC. Signature of Authorized Signatory: ---------------------------------------------- Name of Authorized Signatory: ----------------------------------------------
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. (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. (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. Aggregate Subscription Price for Shares subscribed for: $ -------- (Xxxxx print or type all information exactly as you wish it to appear on the Company's records) -------------------------------------------------------------------------------- Name of Subscriber -------------------------------------------------------------------------------- Principal Office Address -------------------------------------------------------------------------------- Mailing Address (if different from above) -------------------------------------------------------------------------------- Telephone: (Business) (Facsimile) The undersigned signatory certifies that he or she has full power and authority to execute this Subscription Agreement on behalf of Subscriber and that the purchase of Shares has been duly authorized and is not prohibited by the governing instrument of Subscriber. DATED: , 2002 ------------ ------------------------------------- Name of Subscriber By: --------------------------------- (signature) ------------------------------------- (printed name and title of signatory) ACCEPTED BY: Greengate Corporation By: Dated: , 2002 ----------------------------- ---------------- Title: --------------------------- Greengate Corporation Offering of Shares of Common Stock (Signature Page for Subscription by Individuals) Number of Shares subscribed for: --------- Aggregate Subscription Price for Shares subscribed for: $ --------- (Xxxxx print or type all information exactly as you wish it to appear on the Company's records) -------------------------------------------------------------------------------- Name of Subscriber -------------------------------------------------------------------------------- Residence Address -------------------------------------------------------------------------------- Mailing Address (if different from above) -------------------------------------------------------------------------------- Telephone: (Business) (Facsimile) (Residential) DATED: , 2002 ------------ -------------------------------------------------- (Signature of Subscriber) ACCEPTED BY: Greengate Corporation By: Dated: , 2002 ------------------------------ ---------------- Title: ----------------------------
Number of Shares Subscribed For. Price Per Share Total Subscription Amount ($) Class C Preference Shares $5.00 Signature of Purchaser Date (mm/dd/yyyy)
