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.