Bard Holding, Inc. Subscription Agreement for Common Shares

Summary

This agreement allows an investor to purchase common shares of Bard Holding, Inc. at $1.00 per share by submitting payment and completing the required information. The investor acknowledges receipt of the prospectus and agrees to the terms outlined in the subscription agreement. The document collects personal and ownership details, and requires signatures from the investor and any co-owner. The agreement is only valid if accepted by Bard Holding, Inc. and is subject to applicable laws and the terms in the prospectus.

EX-1.1 2 ex1_1.htm SUBSCRIPTION AGREEMENT ex1_1.htm
Exhibit 1.1
 
BARD HOLDING, INC. SUBSCRIPTION AGREEMENT

Gentlemen:

The Investor named below, by payment of the purchase price for such Common Shares, by the delivery of a check payable to BARD HOLDING, hereby subscribes for the purchase of the number of Common Shares indicated below of Bard Holding, at a purchase of $1.00 per Share as set forth in the Prospectus.

By such payment, the named Investor further acknowledges receipt of the Prospectus and the Subscription Agreement, the terms of which govern the investment in the Common Shares being subscribed for hereby.

A.  INVESTMENT:   (1)      Number of Shares ___________________________

                                     (2)      Total Contribution ($1.00/Share) $__________

                                                Date of Investor's check  ___________

B.  REGISTRATION:
                                    (3)      Registered owner: __________________________

                                               Co-Owner: __________________________________

                                   (4)       Mailing address: ___________________________

                                               City, State & zip: _________________________

                                   (5)      Residence Address (if different from above):

                                             ============================================

                                   (6)      Birth Date:      ______/______/______

                                   (7)      Employee or Affiliate: Yes ______  No ______

                                  (8)      Social Security: #: ______/______/______

                                             U.S. Citizen [ ]          Other [ ]

                                             Co-Owner Social Security:

                                             #: ______/______/______

                                             U.S. Citizen [ ]          Other [ ]

                                             Corporate or Custodial:

                                             Taxpayer ID #: ______/______/______

                                             U.S. Citizen [ ]          Other [ ]

                                 (9)      Telephone (H) (     ) ______________________


C.  OWNERSHIP         [ ] Individual Ownership       [ ] IRA or Keogh

                                       [ ] Joint Tenants with Rights of Survivorship

                                       [ ] Trust/Date Trust Established_______________

                                        [ ] Pension/Trust (S.E.P.)

                                        [ ] Tenants in Common          [ ] Tenants by the
                                                         Entirety

                                        [ ] Corporate Ownership        [ ] Partnership

                                        [ ] Other_____________________

 
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D.  SIGNATURES

Registered Owner: _____________________________

Co-Owner:         _____________________________

Print Name of Custodian or Trustee: _____________________________
 
Authorized Signature: _____________________________
 
Date: _____________________
 
Signature: ___________________________________


MAIL TO:
 
Bard Holding, Inc.
1167 Bridge Street
Philadelphia, PA 19124
(215) 825-8593


____________________________________________________________________
FOR OFFICE USE ONLY:

Date Received: ________________________________________________

Date Accepted/Rejected ________________________________________

Subscriber's Check Amount: _______________________

Check No. ___________________ Date Check ________________

Deposited ________________________________

MR #________________

____________________________________________________________________
 

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We have not authorized any dealer, salesperson or other person to give any information or represent anything not contained in this prospectus. You must not rely on any unauthorized information. This prospectus does not offer to sell or buy any shares in any jurisdiction where it is unlawful. The information in this prospectus is current only as of the date of this prospectus.

 
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