Exhibit 99.1
Subscription Agreement
Please issue shares and/or bonds in the amount(s) and name(s) shown below. My
signature acknowledges that I have received and had an opportunity to read the
prospectus by which the shares are offered, that I am purchasing for investment,
and that the amount of my investment is not more than 10% of my net worth.
Date: ____________________________ Signature: ______________________
Enclosed please find payment for
$_______________for shares at $4 per share (minimum investment, $1,000), and/or
$_______________in bonds (sold in increments of $1,000).
Please register the shares and/or bonds in the following name(s) and amount(s):
As (check one):
__ Individual
__ Joint Tenants
__ Trust
__ Tenants in Common
__ Corporation
__ Other
For each person who will be a registered share or bond holder, we require the
following information:
Name (printed):
Mailing Address:
City, State, and Zip Code:
Telephone Number, including area code:
Social Security or Taxpayer ID Number:
Please attach any special mailing instructions other than shown above. No
subscription is effective until we accept it. We will mail you a signed copy of
this agreement for your records.
Subscription accepted on the ___ day of
___________, 199__ By The Xxxxxxx Group
Career Satisfaction Corporation
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XX Xxxxxx, Chief Executive Officer
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