Attached files
file | filename |
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S-1/A - US PARTS S-1 AMENDMENT 3 - One 4 Art Ltd | uspartss1am3v1.htm |
EX-23 - EXHIBIT 23 - One 4 Art Ltd | uspartss1am3ex23.htm |
US PARTS ONLINE INC.
SUBSCRIPTION AGREEMENT
Instructions: Please read the attached prospectus, discuss same with your attorney and, if you determine to make the investment, complete this subscription agreement. This subscription agreement cannot be accepted unless all of the information is provided.
Mail Instructions: A check for the total amount should be attached to the Subscription Agreement, made payable to:
US Parts Online Inc.
2360 Corporate Circle Suite 400
Henderson NV 89074
NAME:__________________________________
DATE:___________________
ADDRESS:___________________________________________________________
HOME
OFFICE
PHONE:_____________________
PHONE:_______________
AGE:__________
SOCIAL SECURITY
NUMBER:________________________
OCCUPATION:___________________
Subject to acceptance by you, in writing, the undersigned hereby offers to subscribe to ___________ shares of common stock, for a total consideration of $________________
(# of shares times $.01).
The undersigned each warrants that he/she is over the age of 21, able to read and understand the English language, and a bona fide resident of the State of _________. The undersigned further warrants that his/her financial security will in no way be jeopardized should he/she lose his/her entire investment.
The undersigned heard about this investment as follows:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
The undersigned has the following business or personal relationships with the promoters of this venture (indicate names, length of time and nature of relationship; if none, so indicate):
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Attached find my check to the order of US Parts Online Inc. in the sum of $_________
.
The agreements and representation herein are made by each person signing this agreement, if more than one.
Use if Single Ownership
______________________________________________________________________________
(Signature)
______________________________________________________________________________
(Print full name)
If joint ownership with right of survivorship
and
(Signature)___________________________
(Signature)____________________
and
(Print full name)_______________________
(Print full name)________________
Accepted:
Receipt acknowledged of Check for $_______________________________________
(Signature)_____________________________________
(Dated)______________