Attached files
Exhibit 10.2
MERECOT CORP.
INVESTMENT CONFIRMATION
The undersigned, intending to be legally bound, hereby irrevocably
subscribes for and agrees to purchase ________ shares of the common stock of
Merecot Corp., a Nevada corporation (the "Company"), for a purchase price of
$_______, or $0.01 per share. Simultaneous with the execution and delivery of
this confirmation to the Company, the undersigned is either delivering a check
made payable to "Merecot Corp." or sending a wire transfer payment to the
Company's account at:
Bank (with address and telephone number):
ABA #: ______________ SWIFT #: _______________ ACH #: _____________
Account Number: ______________
Account Name: _____________________________
The undersigned acknowledges that he has received a copy of the prospectus
of the Company, dated ____________, 2014 filed with the Securities and Exchange
Commission ("Prospectus") with respect to the offer and sale of the shares of
stock being purchased. The undersigned is not relying on the Company or its
affiliates with respect to economic considerations involved in this investment,
but has relied solely on its own advisors.
The undersigned further acknowledges that although the shares of common
stock being purchased from the Company are registered securities under the U.S.
Securities Act of 1933, as amended, there may be restrictions on the resale of
the shares imposed by the particular state law where the undersigned resides or
in a jurisdiction outside of the United States. Accordingly, the undersigned
will not offer to sell or sell the Shares in any jurisdiction unless the
undersigned obtains all required consents, if any.
The undersigned understands that an investment in the shares is a
speculative investment which involves a high degree of risk and the potential
loss of his entire investment. The undersigned is further aware that no federal
or state agency has (i) made any finding or determination as to the fairness of
this investment, (ii) made any recommendation or endorsement of the shares or
the Company, or (iii) guaranteed or insured any investment in the Shares or any
investment made by the Company. The undersigned understands that the price of
the stock purchased hereby bears no relation to the assets, book value or net
worth of the Company and was determined arbitrarily by the Company.
Date:________________
Amount of Investment: $_____ Number of Shares: _________________
1. Print Full Name of Investor: Individual:
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First, Middle, Last
Partnership, Corporation, Trust,
Custodial Account, Other:
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Name of Entity
2. Permanent Address of Investor: -----------------------------------
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3. Name of Primary Contact Person: -----------------------------------
Title: -----------------------------------
4. Telephone Number: -----------------------------------
5. E-Mail Address: -----------------------------------
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6. Facsimile Number: -----------------------------------
7. Social Security or EIN of Investor: -----------------------------------
(attach an executed Form W-8) -----------------------------------
8. Authorized Signatory: -----------------------------------
Title: -----------------------------------
If Investor is an entity, provide copy of Articles of Incorporation, Certificate
of Formation or other evidence of existence, as well as a copy of board
resolution or other evidence of authorization to purchase the shares of the
Company
