|¨||I HAVE READ AND AGREED TO THE SUBSCRIPTION AGREEMENT.|
[Raceo Co One]
[Raceo Co Two]
[Raceo Co Three]
[Raceo Co Four]
[Raceo Co Five]
[Raceo Co Six]
|¨||I am no longer interested in this Race Co|
|¨||This information is the same as the previous|
|Date of Birth|
Upload Government Issued ID
[ ] [Browse]
[Help button text: To upload your government issued ID, you must have a digital version of it. You may scan or take a picture of your ID, and save it to your computer. Click the Browse button and locate the saved file. Confirm that the selected file is the one you want. Your ID will now be uploaded when you submit your Subscription Agreement.]
Email, Fax or Mail Government Issued ID
[ ] Shares X $10.00 = $[ ].[ ]
|¨||Check this box if the following statement is true: I/we am/are not subject to back-up withholding either (1) because I/we am/are exempt from back-up withholding, (2) I/we have not been notified that I/we am/are subject to back-up withholding as a result of a failure to report all interest or dividends, or (3) the Internal Revenue Service has notified me/us that I/we am/are no longer subject to back-up withholding. Under the penalties of perjury, I/we certify that the information contained herein, including the Social Security number or taxpayer identification number given above, is true, correct and complete.|
[Total: $ ]
[Visa] [Mastercard] [ACH] [DEBIT]
Total purchase amount (including convenience fee*) must be less than $10,000
|*||The total above does not include a $1.00 per share convenience fee for paying with a debit card.|
Option 1 (online)
|¨||Same as billing|
[ ] X $10 Race Co One
[ ] X $10 Race Co Two
[ ] X $10 Race Co Three
[ ] X $10 Race Co Four
[ ] X $10 Race Co Five
[ ] X $10 Race Co Six
Total $[ ]
Debit (Visa, Mastercard)
|*||Please note that the $1.00 per share convenience fee associated with payment by debit card is non-refundable if the offering for which you are subscribing does not close or it if closes but your subscription is not accepted for any reason|
|¨||I understand that I will be billed by each individual Race Co that I am purchasing shares from, and that each will show up as a separate transaction in my account|
|¨||I understand that I am responsible for supplying a copy of my governmental issued ID via email, fax or mail [SHOWN ONLY IF SUBSCRIBER CHOOSES NOT TO UPLOAD]|
MACHO UNO RACING CORPORATION
INFORMATION REGARDING THE PUBLIC OFFERING
FOR A COMPLETE DESCRIPTION OF THE PUBLIC OFFERING AND INFORMATION REGARDING INVESTMENT RISKS, YOU ARE URGED TO READ THE PROSPECTUS.
This agreement, together with all schedules (the Subscription Agreement), is part of our registration statement dated March , 2012, and is to be used to purchase shares of our common stock offered thereby (the Public Offering). In the Public Offering, we are offering 405,000 shares, $.001 par value, at $10.00 per share on a best efforts, all or none basis.
If you wish to take part in the Public Offering, you must complete the online form and acknowledge your agreement with this Subscription Agreement where indicated on our website. You will be asked to tell us, among other things, how many shares you would like to purchase. PLEASE READ THE INSTRUCTIONS CAREFULLY ON HOW TO FILL IN AND COMPLETE THIS PUBLIC OFFERING SUBSCRIPTION AGREEMENT. INCOMPLETE SUBSCRIPTION AGREEMENTS WILL BE REJECTED.
All of the shares being offered in the Public Offering are required to be sold for there to be a closing of the Public Offering. We reserve the right to reject any subscriptions, in whole or in part, for any reason, in our sole discretion.
The Purchase Price for the shares may be paid for by check, money order, wire transfer, cash or debit card. Purchases made by debit card are subject to a $1,000 maximum (100 shares).
Purchases made by debit card are subject to a 10% surcharge for convenience purposes. Accordingly, you must pay $11.00 per share if you are purchasing shares with a debit card. If your subscription is not accepted for any reason, or if the offering does not close, you will not receive a return of the 10% surcharge paid, and you will lose the extra $1.00 per share that you paid.
WE MUST RECEIVE PROPERLY COMPLETED SUBSCRIPTION AGREEMENTS NO LATER THAN , 2012 (THE EXPIRATION DATE), UNLESS EXTENDED.
|1.||You may only subscribe if you are a resident of one of the following states: California, Florida, Illinois, Kentucky, Maryland, Michigan, New Jersey, New York, Ohio, Pennsylvania or Texas. You must upload proof of residency by attaching a legible copy of your drivers license, passport or other government-issued photo identification. If the shares are to be issued in more than one name, both persons must supply a copy of their drivers license, US passport or other government-issued photo identification. If you are unable to upload and submit an identification document electronically, you may send a copy of the identification document by email, fax or mail to .|
PLEASE NOTE THE SPECIAL SUITABILITY REQUIREMENTS FOR RESIDENTS OF CALIFORNIA AND PENNSYLVANIA.
|2.||YOU MUST COMPLETE ALL INFORMATION REQUESTED, including your current address, telephone number and social security number.|
|3.||You must affirm the IRS Substitute Form W-9.|
|4.||If paying by debit card, note the added convenience charge.|
|5.||If you are paying by ACH transfer, please use the following wire transfer instructions: .|
|6.||Your subscription is subject to acceptance by the Company in its sole discretion and shall remain irrevocable until the closing date of the offering. If you subscription is accepted, the shares subscribed for will be issued at closing, provided the conditions of closing are satisfied (i.e. all of the shares in the Public Offering are subscribed for). If your subscription is not accepted for any reason, or if the offering does not close, your subscription amount will be returned to you promptly without interest or deduction (provided that the nonrefundable convenience fee, if you are paying by debit card, will not be returned).|
|7.||FOR ASSISTANCE CALL AND ASK TO SPEAK TO ABOUT THE MACHO UNO PUBLIC OFFERING.|
By affirming agreement with the Subscription Agreement, you (the subscriber) are representing to Macho Uno Racing Corporation the following information:
|1.||THE SUBSCRIBER IS AT LEAST EIGHTEEN (18) YEARS OF AGE AND IS A VALID RESIDENT OF THE STATE INDICATED ON PAGE 1 OF THIS SUBSCRIPTION AGREEMENT. The subscriber is under no legal disability nor is the subscriber subject to any order, which would prevent or interfere with the subscribers execution, delivery and performance of this Subscription Agreement or the purchase of the shares by the subscriber.|
|2.||THE AMOUNT OF THE INVESTMENT BY THE SUBSCRIBER (THE TOTAL PURCHASE PRICE BEING PAID BY THE SUBSCRIBER) DOES NOT EXCEED TEN PERCENT (10%) OF THE SUBSCRIBERS LIQUID NET WORTH (EXCLUSIVE OF PRINCIPAL RESIDENCE).|
|3.||FOR CALIFORNIA AND PENNSYLVANIA RESIDENTS ONLY: THE SUBSCRIBER AGREES AND ACKNOWLEDGES THAT THE SUBSCRIBER SATISFIES THE FOLLOWING ADDITIONAL SUITABILITY CONDITIONS TO ACQUIRE THE SHARES:|
|a.||The subscriber has (1) a minimum annual gross income of $70,000 and a minimum net worth of $70,000, exclusive of automobile, home, and home furnishings; or (2) a minimum net worth of $250,000, exclusive of automobile, home, and home furnishings, plus estimated gross income of $65,000 during the current tax year.|
|4.||The subscriber has received and read the Prospectus.|
|5.||The subscriber understands that the shares are being offered in reliance on the subscribers representations herein, and that we will rely on such representations in accepting any subscriptions for the shares, and that we may, but shall not be obligated to, take such steps as we consider reasonable to verify the accuracy and truthfulness of such representations in advance of accepting or rejecting subscriptions. The subscriber agrees to indemnify and hold harmless the Company against any damage, loss, expense or cost, including reasonable attorneys fees, sustained as a result of any misstatement or omission on the subscribers part.|
|6.||This Subscription Agreement cannot be revoked by the subscriber and it is an irrevocable agreement binding on the subscriber, and on the subscribers heirs, estate, legal representatives, assigns and successors, and shall survive the subscribers death, disability or dissolution. Macho Uno Racing Corporation, however, may reject the agreement prior to the subscribers acceptance of the same.|
|7.||The subscriber understands that the subscriber may not sell, transfer or assign this Subscription Agreement, or any interest or rights herein.|
|8.||If this Subscription Agreement is on behalf of a corporation, partnership, trust or other entity, the subscriber has/have been duly authorized to affirm this Subscription Agreement and all other instruments in connection with the purchase of the shares, and the affirmation(s) of the subscriber is/are binding upon such corporation, partnership, trust or other entity. The subscriber must return appropriate certification of such authorization upon request.|
|9.||The subscriber understands and agree that the subscriber may not transfer any shares purchased hereunder or any interest therein (including by depositing any such shares in a brokerage account) unless it provides advance written notice to Macho Uno Racing Corporation at 901 S. Federal Highway, Hallandale Beach, FL 33099.|
|10.||The provisions of this Subscription Agreement shall be construed and enforced according to the laws of Delaware. In the event there is any conflict between this Subscription Agreement and the Prospectus, the terms set forth in the Prospectus shall be controlling. Macho Uno Racing Corporation reserves the right, in its sole discretion, to require completion or correction of any Subscription Agreement. Macho Uno Racing Corporation is not obligated to notify any subscriber of any defect in any Subscription Agreement and may accept or reject any Subscription Agreement in whole or in part for any reason or no reason.|
|11.||This Subscription Agreement (together with all information and affirmations required to be completed online in connection with the submission of a subscription for shares in the Public offering) constitutes the entire agreement between the parties hereto with respect to the purchase of shares of common stock in the Public Offering and may be amended only in writing by the parties to be bound thereby.|