EXHIBIT 10.2

NEXTFIT, INC.

SUBSCRIPTION DOCUMENTS

Each subscriber must complete and sign the Subscription Agreement, appropriate
investor questionnaire and W-9 (the “Subscription Documents”) in accordance with
the following instructions. Subscribers must meet certain requirements in order
for NextFit, Inc. (the “Company”), a Nevada corporation, to comply with the
offering exemptions from registration and qualification under the federal
Securities Act of 1933 and applicable state securities laws. The Company will be
relying on the accuracy and completeness of information provided in the
Subscription Documents to establish the qualifications of prospective investors
and the Company's legal right to sell these securities. Answers will at all
times be kept strictly confidential, unless necessary to establish the legality
of a prospective investor's participation in the offering. The Company should be
contacted immediately if there is any change in the information the prospective
investor has provided. If the Company rejects a subscription agreement, either
in whole or in part (which decision is in the sole discretion of the Company),
the rejected purchase funds or the rejected portion thereof will be returned
promptly to the investor without interest accrued thereon. The minimum
subscription is $25,000 per investor, but the Company, at its discretion, may
waive such minimum investment requirement from time to time. Questions regarding
the completion of these documents should be directed to Teri Sundh or Jeff
Jenson at the Company, (801) 990-1992.

INSTRUCTIONS

1.

Complete and sign the Subscription Agreement (attached hereto).

2.

Natural Person Purchasers must also complete and sign and return copies of items
B and C (attached hereto).

3.

Entity Purchasers must sign and return copies of items BB and C (attached
hereto).

4.

Return all documents, together with a check payable to NextFit, Inc. in the
amount indicated in Paragraph “Subscription for Units – Total Purchase Price” on
page five of the Subscription Agreement for the principal amount purchased to:

NextFit, Inc.

c/o Teri Sundh

235 W. Sego Lily Dr., 2nd Floor

Sandy, Utah 84070

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NextFit, Inc.

SUBSCRIPTION

THE SECURITIES ACQUIRED PURSUANT TO THIS SUBSCRIPTION AGREEMENT HAVE NOT BEEN
REGISTERED UNDER THE SECURITIES ACT OF 1933 (“1933 ACT”) IN RELIANCE UPON AN
EXEMPTION FROM THE REGISTRATION REQUIREMENTS, NOR HAVE THE SECURITIES BEEN
REGISTERED WITH ANY STATE SECURITIES COMMISSION. IT IS UNLAWFUL TO CONSUMMATE A
SALE OR TRANSFER OF THE SECURITIES UNLESS THE PURCHASER INTENDS TO ACQUIRE THE
SECURITIES FOR PURPOSES OF INVESTMENT RATHER THAN RESALE. THE REPRESENTATIONS
MADE HEREIN WILL BE RELIED UPON BY NEXTFIT, INC., IN COMPLYING WITH ITS
OBLIGATIONS UNDER APPLICABLE SECURITIES LAWS.

The undersigned hereby tenders this Subscription Agreement to NextFit, Inc., a
Nevada corporation (hereinafter the “Company”), to purchase units (the “Units”
or each a “Unit”), each Unit consisting of $1,000 of principal amount in a 16%
secured convertible debenture (the “Debenture” or collectively, the
“Debentures”) and a right to purchase 1,000 shares of restricted common stock of
the Company at an exercise price of $.60 per share for a period of three years,
which right shall be conveyed in a warrant (each a “Warrant” or collectively,
the “Warrants”). The offering price is $1,000 per Unit, and there is a minimum
investment of $25,000, per investor (the “Minimum Investment”). The undersigned
hereby tenders a subscription to the Company in the amount entered on the
SUBSCRIBER INFORMATION AND SIGNATURE PAGES hereto.

Payment in full payable to “NextFit, Inc.” is tendered with this subscription.
The undersigned acknowledges that this subscription shall not become effective
until it has been properly executed by the undersigned and accepted by the
Company. The Company may reject subscriptions, in whole or in part, for any
reason, and will limit the number of subscriptions accepted.

1.

The undersigned acknowledges receipt of an Amended Private Placement Memorandum,
dated March 30, 2009 (the “Memorandum”) describing the Company and the terms of
the Company's offer to sell the Units. The undersigned further acknowledges that
he or his representative has read carefully and understands the Memorandum and
the terms of the Offering. The undersigned has had the opportunity to meet with
the officers of the Company to ask questions and, prior to his execution of this
Subscription Agreement, was given full access to all information which the
Company possesses or can acquire without unreasonable effort or expense that is
necessary to verify the accuracy or adequacy of information furnished to the
undersigned, and all such questions, if asked, have been answered satisfactorily
and such documents, if examined, have been found to be fully satisfactory.

2.

In evaluating the suitability of an investment in the Units, the undersigned has
not relied upon any preliminary information supplied by the Company or any other
representations or other information (whether oral or written) from the Company
other than as set forth in the Memorandum. The undersigned has carefully
considered and has, to the extent the undersigned believes such discussion
necessary, discussed with the undersigned's professional legal, tax, accounting
and financial advisors the suitability of an investment in the Units for the
undersigned's particular tax and financial condition and has determined that the
Units being subscribed for by the undersigned are a suitable investment for the
undersigned.

3.

The undersigned acknowledges that there are various substantial risks attendant
to the Company's business and an investment in the Units, including loss of the
entire amount of such investment. The undersigned has considered the risks
associated with such an investment, including, but not limited to, those set
forth under the caption “Risk Factors” in the Memorandum. No representations or
warranties have been made concerning the success of the business or the
potential profit on an investment in the Company or in the Units.

4.

The undersigned acknowledges the illiquidity of the Units. The undersigned
further acknowledges that, due to the fact that the Units will not be registered
under the 1933 Act, or state securities laws, transfer of the Units has been
significantly 1imited. Therefore, the undersigned does not expect to be able to
transfer his Units. The undersigned acknowledges that he must bear the economic
risk of the investment for an indefinite period of time and can afford a
complete loss of the investment. The undersigned will not sell, hypothecate or
otherwise transfer the Units unless (a) the Units is registered under the 1933
Act and applicable state securities laws, or (b) in the opinion of counsel,
concurred in by counsel to the Company, an exemption from the registration
requirements of the 1933 Act and such state laws is available. Furthermore, the
undersigned understands that any certificates evidencing the Units will bear an
appropriate legend restricting the sale, hypothecation, or other transfer of
said Units, and the transfer records of the Company will contain appropriate
notations of such transfer restrictions.

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5.

The undersigned represents and warrants to the Company that he is purchasing the
herein subscribed Units and underlying securities for investment purposes only,
solely for his own account and not for fractionalization or with a view toward
distribution and has no contract, agreement, arrangement or undertaking with any
person to sell, transfer or pledge the Units. The Units and underlying
securities will be issued only in the name of the undersigned and no other
person has or will have a direct beneficial interest in the Units and underlying
securities.

6.

The undersigned, if a natural person, further represents and warrants to the
Company that he is twenty-one (21) years of age or older and that his primary
residence is the same as shown below. The undersigned was contacted in the state
where he resides regarding the potential investment in the Units, and the
underlying securities of Units will be delivered in such state.

7.

The undersigned represents and warrants that he is an “accredited investor” as
defined in Regulation D promulgated under the 1933 Act (“Regulation D”) for the
following reason(s).

Check as Applicable :

£

The undersigned is a natural person whose individual net worth or joint net
worth with his spouse at the time of purchase exceeds $1,000,000.

£

The undersigned is a natural person whose individual income for each of the past
two years and reasonably expected income for the current year exceeds $200,000
or whose joint income with his spouse for such periods exceeds $300,000.

£

The undersigned is a bank or savings and loan association purchasing in its own
or a fiduciary capacity.

£

The undersigned is a securities broker-dealer; an insurance company; an
investment company; a business development company; a Small Business Investment
Company; or a plan with assets in excess of $60,000 established and maintained
by a state or political subdivision for the benefit of its employees; or an
employee benefit plan with a bank, savings and loan association, insurance
company or registered investment advisor acting as a plan fiduciary.

£

The undersigned is an organization described in section 501(c)(3) of the
Internal Revenue Code, corporation, Massachusetts or similar business trust, or
partnership, not formed for the specific purpose of acquiring the Units, with
assets in excess of $282,000.

£

The undersigned is a trust, with total assets in excess of $282,000 and was not
formed for the specific purpose of acquiring the Units. The person directing
investment decisions for the trust has completed the Purchaser Questionnaire
attached hereto as an Exhibit.

£

The undersigned is an employee benefit plan whose assets exceed $282,000.

£

The undersigned is a self-directed employee benefit plan whose investment
decisions are made solely by accredited investors as otherwise defined herein.

£

The undersigned is a partnership, corporation or trust, all of the beneficial
owners of which are accredited investors as defined herein.

£

The

undersigned is otherwise an accredited investor on the following basis:

8.

The undersigned represents and warrants that he has such knowledge and
experience in financial and business matters that he is capable of evaluating
the merits and risks of an investment in the Company, and that the undersigned
is able to bear the economic risks of the investment for an indefinite period of
time and at the present time could afford a complete loss of such investment.

9.

The undersigned hereby agrees to indemnify and hold harmless the Company or any
officer, director or control person of the Company who was or is a party or is
threatened to be made a party to any threatened, pending or completed action,
suit or proceeding, whether civil or criminal, administrative or investigative,
by reason of or arising from any actual or alleged misrepresentation or
misstatement of facts or omission to represent or state facts made by the
undersigned to the Company concerning the undersigned or the undersigned's
financial condition in connection with the Offering or sale of the Units,
including, without limitation, any such misrepresentation, misstatement or
omission contained herein or in the Purchaser Questionnaire.

3

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10.

The undersigned acknowledges and agrees that except as otherwise provided herein
he is not entitled to cancel, terminate or revoke this subscription or any
agreements of the undersigned hereunder and such subscription shall survive (i)
changes in the information described in the Memorandum which in the aggregate
are not material or which are contemplated by the Memorandum and (ii) the death
or disability of the undersigned; provided, however, that if the Company shall
not have accepted this subscription, all agreements of the undersigned hereunder
shall be canceled and this Subscription Agreement will be returned to the
undersigned together with all monies paid herewith and without interest.

11.

If this Subscription Agreement is executed and delivered on behalf of a
partnership, corporation, trust or estate or retirement plan: (i) such
partnership, corporation, trust or estate or retirement plan has been duly
authorized and is duly qualified (a) to execute and deliver this Subscription
Agreement and all other instruments executed and delivered on behalf of such
partnership, corporation, trust or estate or retirement plan or by use of a
power of attorney in connection with the purchase of the Units, and (b) to
purchase and hold such Units; (ii) the signature of the party signing on behalf
of such partnership, corporation, trust or estate or retirement plan is binding
upon such partnership, corporation, trust or estate or retirement plan; and
(iii) such partnership, corporation, trust or estate or retirement plan has not
been formed for the specific purpose of acquiring such Units.

12.

Neither this Subscription Agreement nor any provisions hereof shall be waived,
modified, changed, discharged, terminated, revoked or canceled except by an
instrument in writing signed by the party against whom any change, discharge or
termination is sought.

13.

This Subscription Agreement shall be enforced, governed and construed in all
respects in accordance with the laws of the State of Utah, as such laws are
applied by Utah courts to agreements entered into and to be performed in Utah by
and between residents of Utah, and shall be binding upon the undersigned, the
undersigned's heirs, estate, legal representatives, successors and assigns and
shall inure to the benefit of the Company, its successors and assigns. If any
provision of this Subscription Agreement is invalid or unenforceable under any
applicable statute or rule of law, then such provision shall be deemed
inoperative to the extent that it may conflict therewith and shall be deemed
modified to conform with such statute or rule of law. Any provision hereof which
may prove invalid or unenforceable under any law shall not affect the validity
or enforceability of any other provision hereof.

14.

This Subscription Agreement constitutes the entire agreement among the parties
hereto with respect to the subject matter hereof and may be amended only by a
writing executed by all parties hereto.

15.

As used herein, singular masculine pronouns shall refer to the plural number and
feminine or neuter genders as required by the identity of the undersigned.

16.

Under penalties of perjury, the undersigned certifies that (i) the number shown
on this Agreement is my correct taxpayer identification number and (ii) the
undersigned is not subject to backup withholding either because the undersigned
has not been notified that the undersigned is subject to backup withholding as a
result of a failure to report all interest or dividends, or the Internal Revenue
Service has notified the undersigned that the undersigned is no longer subject
to backup withholding. (Strike out clause (ii) if subject to backup
withholding.)

SUBSCRIBER INFORMATION AND SIGNATURE PAGES TO FOLLOW

4

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SUBSCRIBER INFORMATION AND SIGNATURE PAGES

The Subscriber understands that the Company is relying on the representations,
warranties and other information provided by the Subscriber in this Subscription
Agreement with respect to the offer and sale of the Units. By signing below, the
Subscriber certifies that all information provided by the Subscriber in this
Subscription Agreement is accurate and complete as of the date listed below and,
if not an individual, that the Subscriber is duly organized, validly existing
and in good standing and has full authority to execute and agree to this
Subscription Agreement. The Subscriber understands and agrees that this
Subscription Agreement is irrevocable. Subject to the terms of this Subscription
Agreement, the Company will return the Subscriber's Subscription Agreement and
cash payment only if the Company rejects this Subscription Agreement.

This Subscription Agreement is a legal contract between the Subscriber and the
Company concerning the purchase of Units. The Company urges the Subscriber to
read carefully this entire Subscription Agreement and the Memorandum, including
each of its Appendices, for a complete description of an investment in the
Units. The Subscriber should obtain the Subscriber's own professional advice
with respect to the risks inherent in an investment in the Units, and the
suitability of an investment in the Units in light of the Subscriber's financial
condition and investment needs.

SUBSCRIPTION FOR UNITS – TOTAL PURCHASE PRICE:

A.

Number of Units Subscribed For:...............................................
                                    

(Minimum subscription is 25 Units ($25,000)

B.

Total Purchase Price for Units:................................................
$                                     

(Multiply total on Line A by $1,000)

FORM OF OWNERSHIP – CHECK APPLICABLE BOX:

£

Individual

£

Individual by Custodian (for minors under 18 years of age)

£

Joint Tenants with Right of Survivorship (all signatures must appear below)

£

Tenants in Common (all signatures must appear below)

£

Individual Retirement Account (signatures of both account owner and trustee or
custodian are required) Corporation, Limited Liability Company, Partnership or
other entity (corporate or limited liability company resolutions or partnership
agreement must be enclosed)

£

Trust (title and signature pages of trust agreement and all amendments must be
enclosed): Trustee Name(s):

£

Date of trust agreement or last amendment: Other: Provide detailed information:

INITIAL HERE AND ENTER STATE OF RESIDENCE:

            Initial here to confirm that you have received a copy of the
Prospectus and are a current resident

of
                                                                                            .

5

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Subscriber Address and Tax Information Subscriber:

 

Joint or Additional Subscriber or Custodian (or IRA owner):

 

 

 

 

 

Name

 

 

Name

 

 

 

 

 

 

Address

 

 

Address

 

 

 

 

 

 

 

 

 

City                                       State                Zip

 

City                                       State                Zip

 

 

 

 

 

 

 

 

Telephone Number (include area code)

 

Telephone Number (include area code)

 

 

 

 

 

E-mail Address (optional)

 

 

E-mail Address (optional)

 

 

 

 

 

 

 

 

 

 

Social Security or Taxpayer Identification Number *

 

Social Security or Taxpayer Identification Number *

 

 

 

 

 

State of Residence

 

 

State of Residence

 

(* Note: If more than one social security number is required to be provided, the
Company will

deliver notices to the Subscriber and address associated with the first social
security number.)

SIGNATURE(S)

By signing below each Subscriber represents, warrants and agrees as provided in
the foregoing Subscription Agreement and that the information provided in this
Subscription Agreement, including the Subscription, Subscriber Information and
Signature pages is true, correct and complete.

INDIVIDUALS:

ENTITIES:

 

(Includes joint tenants, tenants in common and individual IRA beneficiaries)

 

(Includes corporations, limited liability companies, partnerships, cooperatives,
trusts and IRA custodians)

 

 

 

 

 

Name of Individual Subscriber

 

Name of Entity Subscriber

 

 

 

 

 

Signature of Individual Subscriber

 

Authorized Signature

 

 

 

 

 

Name of Joint Individual Subscriber or Custodian

 

Print Name

 

 

 

 

 

Signature of Joint Individual Subscriber or Custodian

 

Title

 

 

 

 

 

Date

 

Date

ACCEPTANCE BY COMPANY:

This Subscription Agreement has been accepted and agreed to this day of
                                                    , 2009.

NEXTFIT, INC.

By:

 

 

 

Title:

 

6

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EXHIBIT B

PURCHASER QUESTIONNAIRE

NATURAL PERSON

The information contained in this Questionnaire is being furnished in order to
determine whether the undersigned's subscription to purchase the Units described
in the Amended Private Placement Memorandum, dated March 30, 2009 (the
"Memorandum") may be accepted.

If the response to any item is "none" or "not applicable", please so indicate.
The undersigned agrees that he and his agents, including without limitation his
Purchaser Representative, if applicable, shall provide NextFit, Inc. (the
"Company") such additional information as the Company shall request in order to
satisfy itself that the undersigned meets the minimum legal requirements under
Federal and state securities laws to acquire the Units being offered by the
Memorandum.

Where multiple choices are offered, select and check only that which is
applicable.

YOUR RESPONSES WILL BE KEPT STRICTLY CONFIDENTIAL. However, by signing this
document, you agree that the Company may present the Questionnaire to such
private and/or governmental entities as it deems appropriate, if called upon to
do so, in order to establish the availability under applicable state and federal
law of an exemption from registration.

IF YOU ARE PURCHASING UNITS WITH YOUR SPOUSE,

YOU MUST BOTH SIGN THE SIGNATURE PAGE OF THE SUBSCRIPTION AGREEMENT

AND THIS QUESTIONNAIRE.

IF YOU ARE PURCHASING UNITS WITH ANOTHER PERSON

NOT YOUR SPOUSE, YOU MUST BOTH SIGN THE SUBSCRIPTION AGREEMENT

AND EACH FILL OUT A SEPARATE QUESTIONNAIRE.

IF YOU ARE MARRIED AND LIVE IN A COMMUNITY PROPERTY STATE,

BOTH YOU AND YOUR SPOUSE MUST SIGN THE SIGNATURE PAGE

OF THE SUBSCRIPTION AGREEMENT AND THIS QUESTIONNAIRE.

PLEASE PRINT

_____________________________________________________

Print Name of Prospective Subscriber

1.

I am £ am not £ being advised on the merits of this Offering by a Purchaser
Representative (Investment Advisor).

2.

For the past two years, and during the years or months indicated, I have
maintained my principal residence in the following state or states or country:

________________________________________________________________________________

3.

I presently maintain a house or apartment, other than my principal residence, in
the state of:

________________________________________________________.

4.

(a)

I pay state income taxes in the state of:
__________________________________________

(b)

I hold a driver's license in the state of:
___________________________________________

(c)

I am registered to vote in the state of:
__________________________________________

5.

My present age is: ( £ Under 21) ( £ 21-30) (£ 31-40) (£ 41-50) ( £ 51-60) (£
over 60).

6.

Financial information:

(a)

My aggregate income from all sources for each of the last two calendar years was
(check one); £ under $200,000        £ $200,000-$300,000          £ above
$300,000.

(b)

Approximately _______ percent of my income as shown above was derived from
sources other than salary.

7

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(c)

I expect that my income from all sources for the present year will be (check
one):

£ under $200,000

£ $200,000-$300,000

 £ above $300,000.

(d)

I expect that _______ percent of my income as shown above will be derived from
sources other than salary.

(e)

My approximate present net worth (including the net worth of my spouse but
excluding home, furnishings and automobiles) is: £ under $1,000,000  £ over
$1,000,000

(g)

Approximately _______ percent of my net worth as shown above is investments in
marketable securities (stock, bonds, debentures, etc.).

(h)

Approximately _______ percent of my net worth is readily convertible into cash.

7.

(a)

I have held the following principal positions of employment during the last ten
years, or since graduation from college, whichever is shorter:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

(b)

The following is a brief summary of my educational background, including years
of matriculation and degrees obtained:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

8.

Investment experience:

(a)

£ Yes

£ No

I have previously invested in non-marketable securities.

(b)

The principal investments from which I have derived the experience indicated in
Paragraph a., including names of companies and amounts invested, are:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

(c)

Other activities, business or ventures in which I have had investment experience
include:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

(d)

The following additional information regarding prior investment activities,
business ventures, etc., may also be of help to the Company in determining
whether my knowledge and experience in financial and business matters are
sufficient to enable me to evaluate the merits and risks of this investment:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

(e)

£ Yes

£ No

I have been advised by my own investment counselors, accountants, etc., other
than representatives of the Company concerning the suitability of this
investment for me:

9.

£ Yes

£ No

I understand that no aspect of the activities of the Company can be guaranteed
and that substantial risks are involved in various aspects of this investment:

10.

£ Yes

£ No

I understand that I may examine the original documentation of the Company and
its affairs before investing as well as after; and to the extent that I have not
done so, it was my choice:

8

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To the best of my information and belief, the above information supplied by me
is true and correct in all respects.

Date: __________________________________

_______________________________________________

(Signature of Prospective Purchaser)

_______________________________________________

(Please Print Prospective Purchaser’s Name)

_______________________________________________

(Signature of Prospective Purchaser's Spouse if Purchasing Jointly or if
Community Property State)

________________________________________________

(Print Name of Spouse if Purchasing Jointly or if Community Property State)

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EXHIBIT BB

PURCHASER QUESTIONNAIRE

ENTITY

The information contained in this Questionnaire is being furnished in order to
determine whether the undersigned's subscription to purchase the Units described
in the Amended Private Placement Memorandum, dated March 30, 2009 (the
"Memorandum") may be accepted.

If the response to any item is "none" or "not applicable", please so indicate.
The undersigned agrees that he and his agents, including without limitation his
Purchaser Representative, if applicable, shall provide NextFit, Inc. (the
"Company") such additional information as the Company shall request in order to
satisfy itself that the undersigned meets the minimum legal requirements under
Federal and state securities laws to acquire the Units being offered by the
Memorandum.

Where multiple choices are offered, select and check only that which is
applicable.

YOUR RESPONSES WILL BE KEPT STRICTLY CONFIDENTIAL. However, by signing this
document, you agree that the Company may present the Questionnaire to such
private and/or governmental entities as it deems appropriate, if called upon to
do so, in order to establish the availability under applicable state and federal
law of an exemption from registration.

I.

PLEASE CHECK ANY OF STATEMENTS 1-3 BELOW THAT APPLY TO THE CORPORATION.

£

G 1.

Each of the stockholders of the undersigned CORPORATION is able to certify that
such stockholder meets at least one of the following two conditions:

(a)

The stockholder is a natural person whose individual net worth or joint net
worth with his or her spouse exceeds $1,000,000.

(b)

The stockholder is a natural person whose individual income was in excess of
$200,000 in each of 2007 and 2008 and who reasonably expects an individual
income in excess of $200,000 in 2009.

£

G 2.

Each of the stockholders of the undersigned CORPORATION is able to certify that
such stockholder is a natural person who, together with his or her spouse, has
had a joint income in excess of $300,000 in each of 2007 and 2008 and who
reasonably expects a joint income in excess of $300,000 in 2009.

£

G 3.

The undersigned corporation: (a) was not formed for the specific purpose of
acquiring the Units; and (b) has total assets in excess of $282,000.

IF YOU CHECKED STATEMENT 1 OR STATEMENT 2 IN SECTION I AND DID NOT CHECK
STATEMENT 3, YOU MUST PROVIDE A LETTER SIGNED BY AN OFFICER OF THE UNDERSIGNED
CORPORATION LISTING THE NAME OF EACH STOCKHOLDER AND THE REASON (UNDER STATEMENT
1 OR STATEMENT 2) SUCH STOCKHOLDER QUALIFIES AS AN ACCREDITED INVESTOR (ON THE
BASIS OF NET WORTH, INDIVIDUAL INCOME OR JOINT INCOME), OR EACH STOCKHOLDER MUST
PROVIDE A COMPLETED INDIVIDUAL INVESTOR QUESTIONNAIRE.

II.

OTHER CERTIFICATIONS

By signing the Signature Page, the undersigned certifies the following:

(a)

that the corporation's purchase of the Units will be solely for the
corporation's own account and not for the account of any other person;

(b)

that the corporation's name, address of principal office, place of formation and
taxpayer identification number as set forth in this Questionnaire are true,
correct and complete; and

(c)

that one of the following is true and correct (check one):

£

(i)

the corporation is a corporation formed in or under the laws of the United
States or any political subdivision thereof.

10

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£

(ii)

the corporation is a corporation which is neither created nor organized in or
under the United States or any political subdivision thereof, but which has made
an election under either Section 897(I) or 897(k) of the United States Internal
Revenue Code of 1986, as amended, to be treated as a domestic corporation for
certain purposes of United States federal income taxation (A COPY OF THE
INTERNAL REVENUE SERVICE ACKNOWLEDGMENT OF THE UNDERSIGNED'S ELECTION MUST BE
ATTACHED TO THIS SUBSCRIPTION AGREEMENT IF THIS PROVISION IS APPLICABLE.)

£

(iii)

neither (i) nor (ii) above is true.

III.

GENERAL INFORMATION

(a)

PROSPECTIVE PURCHASER (THE CORPORATION)

 

Name:

 

 

 

 

 

Principal Place of Business:

 

 

 

(Number and Street)

 

 

 

 

 

 

(City)
                                                                                         (State)
                                             (Zip Code)

 

 

 

 

Telephone Number:

 

 

 

 

 

Address for Correspondence (if different):

 

 

 

(Number and Street)

 

 

 

 

 

 

(City)
                                                                                         (State)
                                             (Zip Code)

 

State in which formed:

 

 

Date of Formation:

 

 

Taxpayer Identification Number:

 

 

NASD affiliation or association of the corporation, if any:

 

 

 

 

£ If none, check here

 

 

 

 

 

Number of shareholders:

 

(b)

INDIVIDUAL WHO IS EXECUTING THIS QUESTIONNAIRE ON BEHALF OF THE CORPORATION

 

Name:

 

 

Position or Title:

 

SIGNATURE PAGE TO FOLLOW

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IV. SIGNATURE

CORPORATION SIGNATURE PAGE

Your signature on this CORPORATION SIGNATURE PAGE evidences the agreement by the
CORPORATION to be bound by the Questionnaire and the Subscription agreement.

1.

The undersigned CORPORATION represents that (a) the information contained in
this Questionnaire is complete and accurate and (b) the CORPORATION will notify
you immediately if any material change in any of this information occurs before
the acceptance of the undersigned CORPORATION'S subscription.

2.

The undersigned CORPORATION hereby certifies that it has read and understands
this Subscription Agreement. 3. The undersigned CORPORATION hereby represents
and warrants that the person signing this Subscription agreement on behalf of
the CORPORATION has been duly authorized to acquire the Units and sign this
Subscription Agreement on behalf of the CORPORATION and, further, that the
undersigned CORPORATION has all requisite authority to purchase such Units and
enter into this Subscription Agreement.

 

Date:

 

 

 

 

 

Name of Corporation:

 

 

 

(Please Type or Print)

 

 

 

 

By:

 

 

 

(Signature)

 

 

 

 

Name

 

 

 

(Print Name)

 

 

 

 

Its:

 

STATE______________________

COUNTY____________________

Sworn to before me this ______ day of ____________________________, 2009.

______________________________________________

Notary Public

______________________________________________

 (Commission Expires)

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