Acknowledgement of Risks Factors. The undersigned has carefully reviewed and thoroughly understands the risks associated with an investment in the Shares as described in the Offering Circular with specific reference to the section titled Risk Factors therein. The undersigned acknowledges that this investment entails significant risks. The undersigned has (have) executed this Subscription Agreement on this ________________________________. SUBSCRIBER _____________________________________ Signature _____________________________________ (Print Name of Subscriber) _____________________________________ (Xxxxxx Xxxxxxx) _____________________________________ (City, State and Zip Code) _____________________________________ (Social Security or Tax Identification Number) Number of Shares: ___________________________ Dollar Amount of Shares (At $0.___ per Share) $__________________________ SUBSCRIPTION ACCEPTED: _____________________________________ DATE: _____________________ Sun Kissed Industries, Inc. By: Xxxx Xxxxx Chief Executive Officer
Acknowledgement of Risks Factors. Subscriber has carefully reviewed and thoroughly understands the risks associated with an investment in the Shares as described in the Offering Circular. Subscriber acknowledges that this investment entails significant risks.
Acknowledgement of Risks Factors. The undersigned has carefully reviewed and thoroughly understands the risks associated with an investment in the Units as described in the Offering Circular. The undersigned acknowledges that this investment entails significant risks. The undersigned has (have) executed this Subscription Agreement on this ___day of _____, 2022. SUBSCRIBER Signature (Print Name of Subscriber) (Street Address) (City, State and Zip Code) (Social Security or Tax Identification Number) Number of Units ____________ Dollar Amount of Units (At $0.0228 per Unit) ____________________________ PLEASE MAKE CHECKS PAYABLE TO: ________________ (Wire Instruction available upon request)
Acknowledgement of Risks Factors. The undersigned has carefully reviewed and thoroughly understands the risks associated with an investment in the Shares as described in the Offering Circular with specific reference to the section titled Risk Factors therein. The undersigned acknowledges that this investment entails significant risks. THIS SPACE LEFT INTENTIONALLY BLANK SIGNATURE PAGE TO FOLLOW The undersigned has (have) executed this Subscription Agreement on this ________________________________. SUBSCRIBER _____________________________________ Signature _____________________________________ (Print Name of Subscriber) _____________________________________ (Xxxxxx Xxxxxxx) _____________________________________ (City, State and Zip Code) _____________________________________ (Social Security or Tax Identification Number) Number of Shares: ___________________________ Dollar Amount of Shares (At $0.____ per Share) $__________________________ SUBSCRIPTION ACCEPTED: _____________________________________ DATE: _____________________ Tiger Reef, Inc. By: Xxxxx Xxxxx Chief Executive Officer
Acknowledgement of Risks Factors. The undersigned has carefully reviewed and thoroughly understands the risks associated with an investment in the Shares as described in the Offering Circular. The undersigned acknowledges that this investment entails significant risks.
Acknowledgement of Risks Factors. The undersigned has carefully reviewed and thoroughly understands the risks associated with an investment in the Shares as described in the Offering Circular with specific reference to the section titled Risk Factors therein. The undersigned acknowledges that this investment entails significant risks. The undersigned has (have) executed this Subscription Agreement on this . SUBSCRIBER Signature (Print Name of Subscriber) (Street Address) (City, State and Zip Code) (Social Security or Tax Identification Number) Number of Shares: Dollar Amount of Shares (At $0. Per Share) $ SUBSCRIPTION ACCEPTED: DATE: Acacia Diversified Holdings, Inc. By: Rxxxxxx X. Xxxxxxx, Chief Executive Officer
Acknowledgement of Risks Factors. The undersigned has carefully reviewed and thoroughly understands the risks associated with an investment in the Shares as described in the Offering Circular with specific reference to the section titled Risk Factors therein. The undersigned acknowledges that this investment entails significant risks. The undersigned has (have) executed this Subscription Agreement on this ____________________________. SUBSCRIBER Signature (Print Name of Subscriber) (Street Address) (City, State and Zip Code) (Social Security or Tax Identification Number) Number of Shares: ___________________________ Dollar Amount of Shares (At $0.____ per Share) $__________________________ SUBSCRIPTION ACCEPTED: ____________________ DATE: ____________ Nexus Energy Services, Inc. By: Xxx Xxxxxx Chief Executive Officer
Acknowledgement of Risks Factors. The undersigned has carefully reviewed and thoroughly understands the risks associated with an investment in the Shares as described in the Offering Circular. The undersigned acknowledges that this investment entails significant risks. The undersigned has (have) executed this Subscription Agreement on this ___ day of _____, 2021. SUBSCRIBER: _____________________________________ Signature _____________________________________ (Print Name of Subscriber) _____________________________________ (Xxxxxx Xxxxxxx) _____________________________________ (City, State and Zip Code) _____________________________________ (Social Security or Tax Identification Number) Number of Shares ____________ Dollar Amount of Shares (At $0.01 per Share) ____________________________ PLEASE MAKE CHECKS PAYABLE TO: (Wire Instruction available upon request) MANNER IN WHICH TITLE IS TO BE HELD: ☐ Community Property* ☐ Individual Property ☐ Joint Tenancy With Right of Separate Property (what is the underline) Survivorship* ☐ Separate Property ☐ Corporate or Fund Owners ** ☐ Tenants-in-Common* ☐ Pension or Profit Sharing Plan ☐ Tenants-in-Entirety* ☐ Trust or Fiduciary Capacity (trust documents must accompany this form) ☐ Xxxxx Plan ☐ Fiduciary for a Minor ☐ Individual Retirement Account * Signature of all parties required ** In the case of a Fund, state names of all partners. ☐ Other (Please indicate) SUBSCRIPTION ACCEPTED: U.S. STEM CELL, INC. By: Xxxx Xxxxx DATE
Acknowledgement of Risks Factors. The undersigned has carefully reviewed and thoroughly understands the risks associated with an investment in the Shares as described in the Offering Circular. The undersigned acknowledges that this investment entails significant risks. The undersigned has (have) executed this Subscription Agreement on this _____ day of ___________, 2021, at ______________. SUBSCRIBER _____________________________________ Signature _____________________________________ (Print Name of Subscriber) _____________________________________ (Xxxxxx Xxxxxxx) _____________________________________ (City, State and Zip Code) _____________________________________ (Social Security or Tax Identification Number)
Acknowledgement of Risks Factors. The undersigned has carefully reviewed and thoroughly understands the risks associated with an investment in the Shares as described in the Offering Circular with specific reference to the section titled Risk Factors therein. The undersigned acknowledges that this investment entails significant risks. THIS SPACE LEFT INTENTIONALLY BLANK SIGNATURE PAGE TO FOLLOW The undersigned has (have) executed this Subscription Agreement on this day of 2021. SUBSCRIBER ___________________________ Signature (Print Name of Subscriber) (Street Address) (City, State and Zip Code) (Social Security or Tax Identification Number) Number of Shares: xx,000,000 Dollar Amount of Shares (At $__________ per Share) $,000 SUBSCRIPTION ACCEPTED: DATE: Bemax Inc.
