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SUBSCRIPTION AGREEMENT
I, (1), do hereby subscribe to purchase __(2)__ shares of Stock of (3), a ___(4)___ corporation (the "Company"), Par Value of which is $___(5)___, and for which I agree to pay $___(6)___ per share, for a total purchase price of $___(7)____.
I agree that my failure to pay any installments as may be required in a promissory note accompanying this subscription agreement is a default of my obligation hereunder, and if those
installments are not timely paid, (i) the Company may immediately terminate this Agreement; (ii) my right, title and interest in all the stock purchased hereby shall be null and void; (iii) the Company may cancel all shares of stock then held by me; (iv) I shall forfeit any monies which have
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