SUBSCRIBER SIGNATURE The undersigned, desiring to subscribe for the number of Shares of MAYFLOWER INVESTMENT GROUP, INC. (the “Company”) as is set forth below, acknowledges that he/she has received and understands the terms and conditions of the Subscription Agreement attached hereto and that he/she does hereby agree to all the terms and conditions contained therein.
Subscriber Information Please print your individual or entity name and address. Joint subscribers should provide their respective names. Your name and address will be recorded exactly as printed below.
Subscriber A Person who lawfully receives Cable Service over the Cable System with Franchisee’s express permission.
Xxxxxx Name Xxxxx X. Xxxxxx --------------------- ---------------------
Name of Company The name of the Company shall be as set forth in the Certificate.
Print Name Designation ...................................