Attached files
Exhibit
99.1
SUBSCRIPTION
AGREEMENT
Surna
Inc.
2nd
Floor, 1901 Avenue of the Stars
Los
Angeles, CA 90067
Dear
Sirs:
Concurrent with execution of this
Agreement, the undersigned (the “Purchaser”) is purchasing
_______________________________________________ (__________) shares of Common
Stock of Surna Inc. (the “Company”) at a price of $0.10 per Share (the
“Subscription Price”).
Purchaser hereby confirms the
subscription for and purchase of said number of shares and hereby agrees to pay
herewith the Subscription Price for such Shares.
Purchaser further confirms that Mr.
Richard Clarke and Ms. Cherry Ping-Wai Lim solicited him/her/it to purchase the
shares of Common Stock of the Company and no other person participated in such
solicitation other than Mr. Clarke or Ms. Lim.
MAKE CHECK PAYABLE TO: SURNA INC.
Executed this _____ day of
___________________, 2010.
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_________________________________________________
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_________________________________________________
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Signature
of Purchaser
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_________________________________________________
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_________________________________________________
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Address
of Purchaser
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_________________________________________________
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Printed
Name of Purchaser
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PLEASE
ENSURE FUNDS ARE IN US DOLLARS
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__________________________________________________
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X
$0.10
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________________
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=
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US$________________
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Number
of Shares Purchased
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Total
Subscription Price
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Form
of Payment:
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Cash: ____________
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Check
#: ____________
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Other:
_______________
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SURNA
INC.
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By:
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________________________________________
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Title:
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________________________________________
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