To: Triple 8 Development Corporation
Suite 2901, 0000 Xxxxxxxxxx Xxxxxxxx
Xxxxxxxxx, Xxxxxxx Xxxxxxxx
X0X 0X0
And to: The Nevada Agency and Trust Company
Xxxxx 000, 00 Xxxx Xxxxxxx Xxxxxx
Xxxx, Xxxxxx 00000
RE: SHARE SUBSCRIPTION AGREEMENT
Please issue shares of your common stock in the amounts and name(s) shown below.
My signature acknowledges that I have read the prospectus dated September 19,
2000, and am aware of the risk factors contained in the prospectus. I represent
that I have relied solely on the contents of the prospectus in making an
investment decision to purchase the shares offered by Triple 8 Development
Corporation, and I have not relied on any other statements made by or with
regard to the company in connection with its anticipated operations or financial
performance.
THE UNDERSIGNED ACKNOWLEDGES THAT CITY NATIONAL BANK IS ACTING SOLELY AS ESCROW
HOLDER IN CONNECTION WITH THE OFFERING OF THE SHARES OF TRIPLE 8 DEVELOPMENT
CORPORATION, AND MAKES NO RECOMMENDATION WITH RESPECT TO THOSE SHARES. CITY
NATIONAL BANK HAS MADE NO INVESTIGATION REGARDING THE OFFERING, THE ISSUER OR
ANY OTHER PERSON OR ENTITY INVOLVED IN THE OFFERING.
Each subscriber must complete IRS Form W-9 (if you are a resident of the United
States) or IRS Form W-8 (if you are not a resident of the United States), which
forms are attached as Schedule "A" and "B" to this subscription agreement,
respectively.
ALL CHECKS OR BANK DRAFTS MUST BE MADE PAYABLE IN $US FUNDS TO:
"CITY NATIONAL BANK - TRIPLE 8 DEVELOPMENT CORPORATION".
----------------------------- -----------------------------
(Signature) (Date)
----------------------------- ------------------------------
(Signature) (Date)
Enclosed is payment for ________ shares at $________;
Total: $________
Register the shares in the following name(s) and amount(s):
(Please Print)
Name(s): _________________________________________________________
Number of share(s): ________________
As (check one) [ ] Individual [ ] Joint Tenancy [ ] Husband & Wife as community
property[ ] Tenants in Common [ ] Corporation [ ] Trust [ ] Other:
For the person(s) who will be registered shareowners:
Mailing Address:
_________________________________________________________
City, State, Zip:
_________________________________________________________
Telephone:
_________________________________________________________
Social Security or Taxpayer ID Number(s):
_________________________________________________________
Note: Please attach any instructions for mailing the certificates or shareowner
communications other than to the registered shareowner at this address.
No Subscription Is Effective Until Acceptance.
Subscription Accepted by Triple 8 Development Corporation:
_________________________
Xxxxx Xxxxx, President Date _____________________
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