SOLARACQUISITION CORP., INC. SUBSCRIPTION AGREEMENT
EX-1.1 2 ex_1-1.htm SUBSCRIPTION AGREEMENT Unassociated Document
SOLAR ACQUISITION CORP., 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 SOLAR ACQUISITION CORP., INC. hereby subscribes for the purchase of the number of Common Shares indicated below of Solar Acquisition Corp., Inc.
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 $__________ | |||
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 o Other o | ||||
Co-Owner Social Security: | ||||
#: ______/______/______ | ||||
U.S. Citizen o Other o | ||||
Corporate or Custodial: | ||||
Taxpayer ID #: ______/______/______ | ||||
U.S. Citizen o Other o | ||||
(9) | Telephone (H) ( ) ______________________ |
C. | OWNERSHIP | o | Individual Ownership | o | IRA or Keogh | |
o | Joint Tenants with Rights of Survivorship | |||||
o | Trust/Date Trust Established____________ | |||||
o | Pension/Trust (S.E.P.) | |||||
o | Tenants in Common | o | Tenants by the Entirety | |||
o | Corporate Ownership | o | Partnership | |||
o | Other_____________________ | |||||
D. | SIGNATURES |
Registered Owner: _____________________________
Co-Owner: _____________________________
Print Name of Custodian or Trustee: _____________________________
Authorized Signature: _____________________________
Date: _____________________
Signature: ___________________________________
MAIL TO:
Solar Acquisition Corp., Inc.
1905 Pauline Blvd. Suite 1
Ann Arbor, MI 48103
Telephone: 734 ###-###-####
Telecopier: 734 ###-###-####
____________________________________________________________________
FOR OFFICE USE ONLY:
Date Received: ________________________________________________
Date Accepted/Rejected ________________________________________
Subscriber’s Check Amount: _______________________
Check No. ___________________ Date Check ________________
Deposited ________________________________
MR #________________
____________________________________________________________________
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.