EXHIBIT 99
SUBSCRIPTION AGREEMENT
FOR
CHARRETTE DE CAFE, CORP.
Please mail this Subscription Agreement, with your check, to the address shown
below.
I/We acknowledge receipt of the Prospectus dated _______________, 2006 of
CHARRETTE DE CAFE, CORP. (the "Company") and I/we have reviewed the Prospectus
of the Company as filed with the Securities and Exchange Commission. After a
review, I/We hereby subscribe for Shares of the Company's Common Stock ($0.001
par value) as follows:
________ number of Shares at $ 0.10 per Share.
$_______ Check payable to CHARRETTE DE CAFE, CORP.
Shares are to be registered to (xxxx one):
____ Individual
____ Tenants-in-Common
____ Joint Tenants with Right of Survivorship
____ As Tenants in the Entireties
____ As Custodian/Minor Under the Uniform Gifts to Minors Act
____ Corporation
____ Trust
Please provide complete name(s) and address(es) of all parties:
_______________________ Name
_______________________ Address
_______________________ City, State, Zip
_______________________ Telephone with Area Code
_______________________ Social Security Number/EIN
_______________________ Name
_______________________ Address
_______________________ City, State, Zip
_______________________ Telephone with Area Code
_______________________ Social Security Number/EIN
____________________________________________
Signature of primary investor
Remit this form with your check to:
CHARRETTE DE CAFE, CORP.
0000 Xxxx Xxxxx Xxxxxx Xxxx, Xxxxx 000-000
Xxxxxxx, Xxxxxxxxxx 00000
Attn: Xxxxxx X. Xxxxx
An accepted copy of this form will be returned to you within five days of
receipt. If the Company should decline to accept the subscription, it will be
returned with your check within five days of receipt. By executing this
Subscription Agreement, you acknowledge that you have had the opportunity to
read the Prospectus.
Accepted by Xxxxxx X. Xxxxx
___________________________
Date: ________________,2006
