Attached files
Exhibit 1.1
LIN’AN TENGDA FOOD CORP., INC. SUBSCRIPTION
AGREEMENT
Gentlemen:
The Investor named below, by payment of the purchase price
for such Common Shares, by the delivery of a check payable to LIN’AN TENGDA FOOD
CORP., hereby subscribes for the purchase of the number of Common Shares
indicated below of Lin’an Tengda Food Corp., at a purchase of $0.30 per Share as
set forth in the Prospectus.
By such payment, the named Investor further acknowledges
receipt of the Prospectus and the Subscription Agreement, the terms of which
govern the investment in the Common Shares being subscribed for
hereby.
A. INVESTMENT:
(1) Number of Shares
___________________________
(2) Total Contribution
($0.30/Share) $__________
Date of Investor's
check ___________
B. REGISTRATION:
(3) Registered owner:
__________________________
Co-Owner:
__________________________________
(4) Mailing address:
___________________________
City, State & zip:
_________________________
(5) Residence Address
(if different from above):
============================================
(6) Birth
Date: ______/______/______
(7) Employee or
Affiliate: Yes ______ No ______
(8) Social Security: #:
______/______/______
U.S. Citizen [
] Other [
]
Co-Owner Social Security:
#: ______/______/______
U.S. Citizen [
] Other [
]
Corporate or Custodial:
Taxpayer ID #: ______/______/______
U.S. Citizen [
] Other [
]
(9) Telephone (H)
( ) ______________________
C. OWNERSHIP
[ ] Individual
Ownership [ ] IRA or
Keogh
[ ] Joint Tenants with Rights of
Survivorship
[ ] Trust/Date Trust
Established_______________
[ ] Pension/Trust (S.E.P.)
[ ] Tenants in
Common [
] Tenants by the
Entirety
[ ] Corporate
Ownership [ ]
Partnership
[ ] Other_____________________
D. SIGNATURES
Registered Owner:
_____________________________
Co-Owner: _____________________________
Print Name of Custodian or Trustee:
_____________________________
Authorized Signature:
_____________________________
Date: _____________________
Signature:
___________________________________
MAIL TO:
Lin’an Tengda Food Corp., Inc.
Maoli
Village, Longgang Town,
Lin'an
City, Zhejiang Province
China
Telephone:
0086-571-63633886
Fax: 0086-571-63633886
____________________________________________________________________
FOR OFFICE USE ONLY:
Date Received:
________________________________________________
Date Accepted/Rejected
________________________________________
Subscriber's Check Amount:
_______________________
Check No. ___________________ Date Check
________________
Deposited
________________________________
MR #________________
____________________________________________________________________
====================================================================
We have not authorized any dealer, salesperson or other
person to give any information or represent anything not contained in this
prospectus. You must not rely on any unauthorized information. This prospectus
does not offer to sell or buy any shares in any jurisdiction where it is
unlawful. The information in this prospectus is current only as of the date of
this prospectus.