1.

2.

 

 

 

Name (type or print)

SSN/EIN/Taxpayer I.D.

 

E-Mail address:

 

 

 

 

 

Address

 

 

 

 

 

 

Joint Name (type or print)

SSN/EIN/Taxpayer I.D

 

 

 

 

 

 

E-Mail address:

 

 

 

 

 

Address (If different from above)

 

 

 

Mailing Address (if different from above):

 

 

 

 

Street

City/State

Zip

 

 

 

 

 

 

 

 

Business Phone:

(       )

 

Home Phone:

(       )

 

 

 

 

 

 

 

3.

Type of ownership: (You must check one box)

Individual

 

Custodian for

 

Tenants in Common

 

Uniform Gifts to Minors Act of the State of:

Joint Tenants with rights of Survivorship

 

Corporation (Inc., LLC, LP) – Please List all officers, directors, partners, managers, etc.:

Trust

 

 

 

Community Property

 

Other (please explain)

 

 

 

 

 

 

 4.

Further Representations, Warrants and Covenants.  Buyer hereby represents warrants, covenants and agrees as follows:

 

 

 

 

(a)

Buyer is at least eighteen (18) years of age with an address as set forth in this Subscription Agreement.

 

 

 

 

(b)

Except as set forth in the Prospectus and the exhibits thereto, no representations or warranties, oral or otherwise, have been made to Buyer by the Company or any other person, whether or not associated with the Company or this offering.  In entering into this transaction, Buyer is not relying upon any information, other than that contained in the Prospectus and the exhibits thereto and the results of any independent investigation conducted by Buyer at Buyer’s sole discretion and judgment.

 

(c)

Buyer is under no legal disability nor is Buyer subject to any order, which would prevent or interfere with Buyer’s execution, delivery and performance of this Subscription Agreement or his or her purchase of the Shares.  The Shares are being purchased solely for Buyer’s own account and not for the account of others and for investment purposes only, and are not being purchased with a view to or for the transfer, assignment, resale or distribution thereof, in whole or part.  Buyer has no present plans to enter into any contract, undertaking, agreement or arrangement with respect to the transfer, assignment, resale or distribution of any of the Shares.

5.

 

 

 

 

(a)

It is understood that this subscription is not binding upon the Company until accepted by the Company, and that the Company has the right to accept or reject this subscription, in whole or in part, in its sole and complete discretion. If this subscription is rejected in whole, the Company shall return to Buyer, without interest, the Payment tendered by Buyer, in which case the Company and Buyer shall have no further obligation to each other hereunder.  In the event of a partial rejection of this subscription, Buyer’s Payment will be returned to Buyer, without interest, whereupon Buyer agrees to deliver a new payment in the amount of the purchase price for the number of Shares to be purchased hereunder following a partial rejection of this subscription.

6.

 

 

 

 

(a)

This Subscription Agreement shall be governed and construed in all respects in accordance with the laws of the State of Florida without giving effect to any conflict of laws or choice of law rules.

 

 

INVESTOR SUBSCRIPTION ACCEPTED AS OF

 

 

 

 

day of

 

,

Signature of Buyer

 

 

 

 

 

 

 

 

HIP CUISINE, INC.

Printed Name

 

2250 NW 114^th Ave. Unit 1P, PTY 11020,

Miami, FL 33172-3652

 

 

 

 

Date

 

By:  /s/ Natalia Lopera

 

 

 

      Natalia Lopera, President

HIP CUISINE, INC.

2250 NW 114^th Ave. Unit 1P, PTY 11020,

Miami, FL 33172-3652