Specimen Subscription Agreement
SUBSCRIPTION AGREEMENT
CORTEX SYSTEMS INC.
(A Nevada Corporation)
000 Xxxxx Xxx Xxxxx, Xxxxx 000
Xxxxxxxx, Xxxxxxx Xxxxxxxx
X0X 0X0 Xxxxxx
The prospective purchaser who is signing below
hereby tenders this Purchase Offer and applies for the
purchase of the number of shares of common stock, $.0001
par value, set forth below, in Cortex Systems Inc., (hereafter "Corporation")
at a price of $0.10 per share and encloses a check, bank draft, or money order,
payable to "Cortex Systems Inc." in the amount set forth below for the stated
number of shares. The prospective purchaser understands that these funds will
be held by Cortex Systems Inc. for a period of up to 90 days (or an additional
90 days if so extended by the Corporation, for a total of 180 days), from the
date of the Prospectus. The prospective purchaser further understands that
these funds may not be returned to the prospective purchaser. The prospective
purchaser hereby acknowledges receipt of a copy of the Prospectus.
The prospective purchaser further hereby represents and warrants as follows:
1. He/she has carefully read the Prospectus and has relied solely upon
the Prospectus and investigations made by him/her or by his/her purchaser
representative in making the decision to purchase the shares.
2. The prospective purchaser is aware that the shares represent a
high risk of speculation and has carefully read and considered the material
set forth and particularly the materials
in the "Risk Factors" of the Prospectus.
3. He/she, if a person, is at least 21 years of age and, whether
or not a person, has adequate means of providing for his current needs
and personal or other contingencies
and has no need for liquidity in his investments.
4. He/she understands that this purchase offer does not become
a purchase agreement unless payment submitted with the purchase offer
is promptly paid by the bank upon which it is drawn and until the
offer is accepted by a duly authorized officer or agent of the Company.
The Company may accept or reject any or all of the offer.
5. He/she hereby acknowledges and agrees that he/she is not
entitled to cancel, terminate or revoke this purchase offer or any
agreements of the prospective purchaser hereunder and that the purchase
agreements shall survive death, disability or transfer of control of the
prospective purchaser.
MAKE CHECK PAYABLE TO: CORTEX SYSTEMS INC.
Executed this day of
, 200 at
Dollar Amount of Purchase Offer: $
Number of Shares of Purchase Offer:
Address Signature of Purchaser
Address Printed SURNAME of Purchaser
City / State Printed FIRST name (and initials) of Purchaser
Country / Zip Code
Taxpayer Identification or
Social Security Number
Accepted By CORTEX SYSTEMS INC.
By:
Title:
Date:
