Exhibit 4.3


BALLISTIC RECOVERY SYSTEMS, INC


SUBSCRIPTION
AGREEMENT


Units
including Common Stock and Warrants to Purchase Common Stock




 





SUBSCRIPTION AGREEMENT


AND


LETTER OF
INVESTMENT INTENT




 





INSTRUCTIONS


To purchase Units
of common stock and warrants to purchase common stock pursuant to Ballistic
Recovery Systems, Inc.’s Confidential Offering Memorandum dated September 15,
2006 please:  (i) review the Subscription
Agreement and Letter of Investment Intent (the “Subscription Agreement”); (ii)
complete Section 4 of the Subscription Agreement regarding accredited investor
status; (iii) complete Section 12 of the Subscription Agreement regarding
relationships to brokerage firms; (iv) complete, sign and date the appropriate
signature pages (individual subscribers should sign and date in Section
VI (A); entity subscribers should sign and date in Section VI (B) and
individual subscribers who wish to hold Units in an IRA account should sign and
date in Section VI (A) and VI (C); and (v) send the Investor check payable to “Ballistic
Recovery Systems, Inc. Escrow Account,” together with the completed
Subscription Agreement to                         .


____________________________________________________________________________________


THE COMPANY WILL NOT ACCEPT ANY
SUBSCRIPTION AGREEMENT THAT IS NOT FULLY AND ACCURATELY COMPLETED, DATED AND
SIGNED.



 1
 






 



Investor Full Name:
_______________________________


Number of Units
Subscribed For: ___________________


BALLISTIC
RECOVERY SYSTEMS, INC.


SUBSCRIPTION
AGREEMENT AND LETTER OF INVESTMENT INTENT


THIS IS AN IMPORTANT LEGAL
DOCUMENT.  READ EACH PART OF IT
CAREFULLY.


This subscription,
submitted as of the date set forth on the Signature Page, is between Ballistic
Recovery Systems, Inc., a Minnesota corporation (the “Company”), and the
undersigned subscriber (the “Subscriber”).


1.                                       Offer
to Purchase.  The Subscriber hereby
offers to purchase that number of Units set forth on the Signature Page (the “Units”)
and hereby tenders the Subscriber’s check payable to “Ballistic Recovery Systems,
Inc. Escrow Account” in the aggregate dollar amount set forth on the Signature
Page at a per Unit purchase price of $5.44. 
There is a minimum purchase of 4,000 Units ($21,760).  By execution hereof, the Subscriber
acknowledges that the Company is relying upon the accuracy and completeness of
the representations contained herein in complying with its obligations under
applicable securities laws.


2.                                       Representations
and Warranties of the Company.  In
consideration of the Subscriber’s purchase of the Units, the Company represents
and warrants to the Subscriber as follows:


a.                                       Organization.  The Company is a validly existing corporation
under the laws of the State of Minnesota.


b.                                      Good
Standing.  The Company is in good
standing under the laws of the State of Minnesota, and there are no proceedings
or actions pending to limit or impair any of its powers, rights and privileges,
or to dissolve it.


c.                                       Corporate
Authorization.  The execution and
delivery of this Agreement and the consummation of the transaction contemplated
hereby have been duly authorized by proper corporate action of the Company.


3.                                       Representations
and Warranties of Subscriber.  The
Subscriber hereby represents and warrants to the Company and its officers,
directors, shareholders, employees and agents as follows:



 2
 






 



a.                                       Information
About the Company.  The Subscriber
has received and reviewed the Company’s Confidential Offering Memorandum dated
September 15, 2006, and all attachments and exhibits thereto, including the
Company’s (i) Form 10-KSB for the year ended September 30, 2005, (ii) Form
10-QSB for the quarter ended March 31, 2006, (iii) Form 10-QSB for the quarter
ended June 30, 2006 and (iv) proxy statement relating to the 2006 Annual
Meeting of Shareholders, and has obtained all information about the Company as
the Subscriber believes relevant to the decision to purchase the Units. The
Subscriber has also had the opportunity to ask questions of, and to receive
answers from, the Company or an agent or a representative of the Company
concerning the terms and conditions of the investment and the business and
affairs of the Company and to obtain any additional information necessary to
verify such information, and the Subscriber has received such information
concerning the Company as the Subscriber considers necessary or advisable in
order to form a decision concerning an investment in the Company.


The Subscriber understands that any business plan, marketing plan,
financial modeling or similar document concerning the Company is inherently
forward-looking.  The Subscriber
represents that the Subscriber has viewed the information set forth therein
with a critical frame of mind and, to the extent that information contained in
any such document was deemed by the Subscriber to be important information in
making an investment decision, the Subscriber has discussed such information
with the officers and other personnel of the Company in order to form a better
judgment regarding the usefulness of such information.  The Subscriber agrees that no statement in
any such document, even if framed as a factual statement, will, of itself,
constitute a factual representation by the Company in light of the various
purposes for which any such document may have been created.


b.                                      Forward-Looking
Information.  The Subscriber acknowledges
and understands that any information provided about the Company’s future plans
and prospects is uncertain and subject to all of the uncertainties inherent in
future predictions.


c.                                       No
Review by Federal or State Regulators. 
The Subscriber understands that this transaction has not been
scrutinized by the United States Securities and Exchange Commission (the “Commission”)
or by any state securities or other authority and, because of the small number
of persons solicited to invest in the Units and the private nature of the
Offering, that all documents, records, and books pertaining to this investment
have been made available to the Subscriber and the Subscriber’s
representatives, such as attorneys, accountants and/or purchaser
representatives.


d.                                      High
Degree of Risk.  The Subscriber
realizes that this investment involves a high degree of risk, including the
risk of loss of all investment in the Company.


e.                                       Ability
to Bear the Risk.  The Subscriber is
able to bear the economic risk of the investment, including the total loss of
such investment.



 3
 






 



f.                                         Appropriate
Investment.  The Subscriber believes,
in light of the information provided pursuant to paragraph 3(a) above,
that investing funds pursuant to the terms of this Agreement is an appropriate
and suitable investment for the Subscriber.


g.                                      Financial
Condition.  The Subscriber’s current
financial condition is such that (and the Subscriber expects the Subscriber’s
financial condition to be such that in the near future) the Subscriber does not
have any present or contemplated need to dispose of any portion of the Units to
satisfy any existing or contemplated undertaking, need or indebtedness.


h.                                      Business
Sophistication.  The Subscriber
(i) is experienced and knowledgeable in financial and business matters to
the extent that the Subscriber is capable of evaluating the merits and risks of
the prospective investment in the Units or (ii) if the Subscriber does not
so believe, or if the Subscriber has been instructed by the Company to
designate a purchaser representative to supplement the Subscriber’s knowledge
and experience for the purpose of evaluating the merits and risks of the
prospective investment in the Units, the Subscriber has provided the Company
with the identity of such purchaser representative and such information
concerning the knowledge and experience in financial and business matters of
such a purchaser representative, either directly or by making such purchaser
representative available for interview, necessary to enable a determination
that such purchaser representative, together with the undersigned, have such
knowledge and experience in financial and business matters that they are
capable of evaluating the merits and risks of the prospective investment in the
Units.  In addition to designating a purchaser
representative, if necessary, the Subscriber has obtained, to the extent the
Subscriber deems necessary, personal and professional advice with respect to
the risks inherent in the investment in the Units in light of the Subscriber’s
financial condition and investment needs. 
The Subscriber and the Subscriber’s purchaser representative, if any,
have been given access to full and complete information regarding the Company
and have utilized such access to their satisfaction for the purpose of obtaining
information and, particularly, the Subscriber or the Subscriber’s purchaser
representative, if any, have obtained, and have had the opportunity to obtain,
information from the Company as set forth in paragraph 3(a) above.


i.                                          Residency.  The Subscriber is a resident of the state and
country set forth on the Signature Page. 
The Units are being purchased by the undersigned in the undersigned’s
name solely for the undersigned’s own beneficial interest and not as nominee
for, on behalf of, for the beneficial interest of, or with the intention to
transfer to, any other person, trust, or organization.


j.                                          Subscription.  The Subscriber understands that the payment
made to the Company may immediately become funds of and may be used by the
Company once accepted on the conditions described in the Memorandum.  The Company is free to reject any
subscription in whole or in part.  The
Subscriber understands that if 



 4
 






 



the Company determines to reject this subscription, any funds returned
to the Subscriber will be without deduction therefrom or interest thereon.


k.                                       No
General Solicitation.  The Subscriber’s
purchase of the Units is not the result of any general solicitation or general
advertising, including, but not limited to (i) any advertisement, article,
notice or other communication published in any newspaper, magazine or similar
media or broadcast over television or radio; and (ii) any seminar or
meeting whose attendees have been invited by any general solicitation or
general advertising.


l.                                          Legal
Age.  The Subscriber is of legal age
(as established in the Subscriber’s state of residence) and is under no
disability with respect to entering into a contractual relationship.


m.                                    Not
Subject to Backup Withholding.  The
Subscriber certifies, under penalty of perjury, that the Subscriber is not
subject to the backup withholding provisions of the Internal Revenue Code of
1986, as amended.  (Note:  The Subscriber is subject to backup
withholding if:  (i) the Subscriber
fails to furnish its Social Security Number or Taxpayer Identification Number
herein; (ii) the Internal Revenue Service notifies the Company that the
Subscriber furnished an incorrect Social Security Number or Taxpayer
Identification Number; (iii) the Subscriber is notified that it is subject
to backup withholding; or (iv) the Subscriber fails to certify that it is
not subject to backup withholding or the Subscriber fails to certify the
Subscriber’s Social Security Number or Taxpayer Identification Number.)


n.                                      Legal
Representation.  The Subscriber
understands that: (i) the Company has engaged legal counsel to provide
assistance to the Company in connection with the offer and sale of securities
contemplated herein; (ii) legal counsel engaged by the Company does not
represent the Subscriber or the Subscriber’s interests; (iii) such legal
counsel did not prepare the Company’s disclosure documents and has conducted
only nominal due diligence in connection with the Offering and the Company; and
(iv) the Subscriber is not relying on legal counsel engaged by the
Company.  The Subscriber has had the
opportunity to engage, and obtain advice from, the Subscriber’s own legal
counsel with respect to the investment contemplated herein.


4.                                       Accredited
Status.  The Subscriber represents
and warrants as follows (please INITIAL all applicable items):


INDIVIDUALS:


___                           (i)            The Subscriber is an individual with
a net worth, or a joint net worth together with his or her spouse, in excess of
$1,000,000.  (In calculating net worth,
the Investor may include equity in personal property and real estate, including
the Investor principal residence, cash, short-term investments, stock and
securities.  Equity in personal property
and real 



 5
 






 



estate should be based on the fair market value of
such property less any debt secured by such property.)


___                           (ii)           The Subscriber is an individual that
had an individual income in excess of $200,000 in each of the prior two years
and reasonably expects an income in excess of $200,000 in the current year.


___                           (iii)          The Subscriber is an individual that
had with his or her spouse joint income in excess of $300,000 in each of the
prior two years and reasonably expects joint income in excess of $300,000 in
the current year.


___                           (iv)          The Subscriber is a director or
executive officer of the Company.


ENTITIES (Please provide a copy of the entity’s
charter documents):


___                           (i)            The Subscriber is a (initial one):


___         (A)          General
Partnership


___         (B)           Limited
Liability Partnership


___         (C)           Limited
Partnership


___         (D)          Limited
Liability Company


___         (E)           Corporation


___         (F)           Business
Trust


___         (G)           Other Entity (please specify):  _________________


___                           (ii)           The Subscriber is an entity, and is
an “Accredited Investor” as defined in Rule 501(a) of Regulation D
under the Securities Act of 1933, as amended (the “Act”).  This representation is based on the following
(initial one or more, as applicable):


___                           (A)          The Subscriber (or, in the case of a
trust, the undersigned trustee) is a bank or savings and loan association as
defined in Sections 3(a)(2) and 3(a)(5)(A), respectively, of the Act
acting either in its individual or fiduciary capacity.


___                           (B)           The Subscriber is a broker/dealer
registered pursuant to the Securities Exchange Act of 1934.


___                           (C)           The Subscriber is an insurance
company as defined in Section 2(13) of the Act.


___                           (D)          The Subscriber is an investment
company registered under the Investment Company Act of 1940 or a business
development company as defined in Section 2(a)(48) of that Act.



 6
 






 



___                           (E)           The Subscriber is a Small Business
Investment Company licensed by the U.S. Small Business Administration under
Section 301(c) or (d) of the Small Business Investment Act of 1958.


___                           (F)           The Subscriber is an employee benefit
plan within the meaning of Title I of the Employee Retirement Income
Security Act of 1974 and either (initial one or more, as applicable):


___                           (1)           The investment decision is made by a
plan fiduciary, as defined in Section 3(21) of such Act, which is either a
bank, savings and loan association, insurance company, or registered investment
adviser.


___                           (2)           The employee benefit plan has total
assets in excess of $5,000,000.


___                           (3)           The plan is a self-directed plan with
investment decisions made solely by persons who are “Accredited Investors” as
defined under the Act.


___                           (G)           The Subscriber is a private business
development company as defined in Section 202(a)(22) of the Investment
Advisers Act of 1940.


___                           (H)          The Subscriber has total assets in
excess of $5,000,000, was not formed for the specific purpose of acquiring
Units of the Company and is one or more of the following (initial one or
more, as appropriate):


___                           (1)           An organization described in
Section 501(c)(3) of the Internal Revenue Code.


___                           (2)           A corporation.


___                           (3)           A Massachusetts or similar business
trust.


___                           (4)           A partnership.


___                           (5)           A limited liability company.


___                           (I)            The Subscriber is a trust with total
assets exceeding $5,000,000, which was not formed for the specific purpose of
investing in the Company and whose purchase is directed by a person described
in Rule 506(b)(2)(ii) under the Act.


___                           (J)            The Subscriber is an entity, all of
whose equity owners are accredited investors. 
(Please provide written 



 7
 






 



representation of accredited investor status from each
equity owner.)


IF YOU HAVE NOT
INITIALED ANY OF THE FOREGOING TESTS SET FORTH ABOVE, YOU ARE NOT AN ACCREDITED
INVESTOR AND CANNOT PURCHASE ANY UNITS.


___                           (iii)
Entities.  A REPRESENTATIVE OF AN
ENTITY SUBSCRIBER MUST INITIAL HERE . If the Subscriber is an entity, the
individual(s) signing on behalf of the Subscriber and the Subscriber, jointly
and severally, agree and certify that this Agreement has been duly authorized
by all necessary action on the part of the Subscriber, has been duly executed
by an authorized representative of the Subscriber, and is a legal, valid, and
binding obligation of the Subscriber enforceable in accordance with its terms.


5.                                       Investment
Purpose in Acquiring the Units.  The
Subscriber and the Company acknowledge that the Units have not been registered
under the Act or applicable state securities laws and that the Units will be
issued to the Subscriber in reliance on exemptions from the registration
requirements of the Act and applicable state securities laws and in reliance on
the Subscriber’s and the Company’s representations and agreements contained
herein.  The Subscriber is subscribing to
acquire the Units for the account of the Subscriber for investment purposes
only and not with a view to their resale or distribution.  The Subscriber has no present intention to
divide his, her or its participation with others or to resell or otherwise
dispose of all or any part of the Units. 
In making these representations, the Subscriber understands that, in the
view of the Commission, exemption of the Units from the registration
requirements of the Act would not be available if, notwithstanding the
representations of the Subscriber, the Subscriber has in mind merely acquiring
the Units for resale upon the occurrence or non-occurrence of some
predetermined event.


6.                                       Compliance
with Securities Act.  The Subscriber
agrees that if the Units or any part thereof are sold or distributed in the
future, the Subscriber shall sell or distribute them pursuant to the
requirements of the Act and applicable state securities laws.  The Subscriber agrees that the Subscriber
will not transfer any part of the Units without: (i) obtaining a “no
action” letter from the Commission and applicable state securities commissions;
(ii) obtaining an opinion of counsel satisfactory in form and substance to
the Company to the effect that such transfer is exempt from the registration
requirements under the Act and applicable state securities laws; or
(iii) registration.


7.                                       Restrictive
Legend.  The Subscriber agrees that
the Company may place one or more restrictive legends on any certificates
evidencing the Units, containing substantially the following language:


The securities represented by this certificate have
not been registered under the Securities Act of 1933, as amended, have not 



 8
 






 



been registered under any state securities law, and
are subject to a subscription and investment representation agreement.  They may not be sold, offered for sale, or
transferred in the absence of either an effective registration under the
Securities Act of 1933, as amended, and under the applicable state securities
laws, or an opinion of counsel for the Company that such transaction is exempt
from registration under the Securities Act of 1933, as amended, and under the
applicable state securities laws.


9.                                       Stop
Transfer Order.  The Subscriber
agrees that the Company may place a stop transfer order with its registrar and
transfer agent (if any) covering all certificates representing the Units.


10.                                 Relationship
to Brokerage Firms.  (Please answer
the following questions by initialing the appropriate response):


___ YES___ NO: Is the Investor a director, officer, partner, branch
manager, registered representative, employee, shareholder of, or similarly
related to or employed by, a brokerage firm?


___ YES ___ NO: Is the Investor’s spouse, father, mother,
father-in-law, mother-in-law, or any of the Investor’s brothers, sisters,
brothers-in-laws, sisters-in-law or children, or any relative which the
Investor supports, a director, officer, partner, branch manager, registered
representative, employee, shareholder of, or similarly related to or engage by,
a brokerage firm?


___ YES ___ NO: Does the Investor own voting securities of any
brokerage firm?


___ YES ___ NO: If the Subscriber is an entity, is any director,
officer, partner or 5% owner of the Subscriber also a director, officer,
partner, branch manager, registered representative, employee, shareholder of,
or similarly related to or employed by a brokerage firm?


(If the Investor answered YES to any of the foregoing questions, please
contact the Company to provide additional information before the subscription
can be considered.)


11.                                 Binding
Effect.  Neither this Agreement nor
any interest herein shall be assignable by the Subscriber without the prior
written consent of the Company.  The
provisions of this Agreement shall be binding upon and inure to the benefit of
the parties hereto, and their respective heirs, legal representatives,
successors and assigns.


12.                                 Representations
to Survive Delivery.  The
representations, warranties and agreements of the Company and of the Subscriber
contained in this Agreement will remain operative and in full force and effect
and will survive the receipt of funds by the Company, and the issuance to the
Subscriber of the Units.


13.                                 Indemnification.  Subscriber agrees to indemnify the Company,
and each current and future officer, director, employee, agent and shareholder
of the Company, against and to 



 9
 






 



hold them harmless from any damage, loss, liability,
claim or expense including, without limitation, reasonable attorneys’ fees
resulting from or arising out of the inaccuracy or alleged inaccuracy of any of
the representations, warranties or statements of the Subscriber contained in
this Agreement, including without limitation any violation or alleged violation
of the registration requirements of the Act or applicable state law in
connection with any subsequent sale of the Units by Subscriber.


14.                                 Revocation.  Subscriber hereby acknowledges and agrees
that Subscriber is not entitled to cancel, terminate or revoke this Agreement
and that it shall survive the bankruptcy of Subscriber.


15.                                 Arbitration.  The Subscriber further agrees that any
dispute regarding this Agreement or the Subscriber’s investment in the Company
(including without limitation claims pursuant to federal or state securities
laws), including any claim which is made against any Offering agent or broker-dealer
involved in the offer or sale of the Units, shall be resolved by arbitration
which shall be the sole forum for resolution of any such disputes.  Unless otherwise agreed by the parties, any
such proceedings shall be brought in the state of Minnesota, County of
Hennepin, pursuant to the Rules and Code of Arbitration of the America
Arbitration Association, except that if a bona fide claim is made against the
Company, and an Offering agent or broker-dealer is named in connection with
such claim, then such claim shall be brought pursuant to the Rules and Code of
Arbitration of the National Association of Securities Dealers, Inc.


16.                                 Governing
Law; Venue.  This Agreement shall be
governed by, and construed in accordance with, the substantive laws of the
State of Minnesota without reference to Minnesota conflict or choice of law
provisions.  Actions or proceedings
litigated in connection with this Agreement, if any, shall be venued exclusively
in the state and federal courts located in the County of Hennepin, State of
Minnesota.


17.                                 Additional
Information.  Subscriber shall supply
such additional information and documentation relating to Subscriber and any
persons who have any rights or interest in Subscriber as may be requested by
the Company in order to ensure compliance by the Company with applicable
laws.  If at any time prior to the
Company’s acceptance of this Agreement, an adverse change occurs with respect
to the Subscriber such that the information, representations and warranties of
the Subscriber set forth in this Agreement are no longer accurate, the
Subscriber shall immediately notify the Company of the inaccuracy in writing
and shall deliver the updated, accurate information to the Company.


18.                                 Successors
and Assigns.  The representations and
warranties made by the Subscriber in this Agreement are binding on the
Subscriber’s successors and assigns and are made for the benefit of the Company
and any other person who may become liable for violations of applicable securities
laws as a result of the inaccuracy or falsity of any of the Subscriber’s
representations or warranties.


19.                                 Counterparts.  This Agreement may be executed by the Company
and by the Subscriber in separate counterparts, each of which shall be deemed an
original.



 10















20.                                 Acceptance. This
Agreement is not binding on the Company until accepted in writing by an
authorized officer of the Company.


23.                                 THESE
SECURITIES HAVE NOT BEEN REGISTERED UNDER THE FLORIDA SECURITIES ACT IN
RELIANCE UPON AN EXEMPTION THEREFROM. ANY SALE MADE PURSUANT TO SUCH EXEMPTION
IS VOIDABLE BY A FLORIDA PURCHASER WITHIN THREE (3) DAYS AFTER THE FIRST TENDER
OF CONSIDERATION IS MADE BY SUCH PURCHASER TO THE ISSUER, AN AGENT OF THE
ISSUER OR AN ESCROW AGENT IN PAYMENT FOR SUCH SECURITIES. HOWEVER, THIS RIGHT
IS NOT AVAILABLE TO ANY PURCHASER WHO IS A BANK, TRUST COMPANY, SAVINGS
INSTITUTION, INSURANCE COMPANY,SECURITIES DEALER, INVESTMENT COMPANY AS  DEFINED IN 
THE INVESTMENT COMPANY ACT OF 1940, PENSION OR PROFIT-SHARING TRUST OR
QUALIFIED INSTITUTIONAL BUYER AS DEFINED IN RULE 144A UNDER THE SECURITIES ACT
OF 1933.



 11
 






 



 


	
  

  	
  SIGNATURE PAGE

  
	
  I.

  	
  The total dollar value of Units of Ballistic
  Recovery Systems, Inc. that I wish to subscribe for is:

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
   

  	
  _________________

  	
  X

  	
  $5.44

  	
  =

  	
  $_______________

  
	
   

  	
  (Number of Units, 4,000

  	
   

  	
  (Price per Unit)

  	
   

  	
  (Total Value of Units)

  
	
   

  	
  Minimum purchase.)

  	
   

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  II.

  	
  Manner in which title is to be held (check the
  correct box):

  



 


	
  

  	
  o

  	
  Individual

  	
  o

  	
  Tenants in Common

  
	
   

  	
  o

  	
  Joint Tenants with
  right of 

  Survivorship

  	
  o

  	
  Corporation

  
	
   

  	
  o

  	
  Partnership

  	
  o

  	
  Trust

  
	
   

  	
  o

  	
  Other (Please
  describe_____________________________)

  
	
   

  	
  o

  	
  IRA (If held in an IRA,
  fill in IRA Custodian information below. 
  IRA Custodian must also sign in item VI.(C).

  



 


____________________________________


Custodian Name


____________________________________


Custodian Street
Address or PO Box


____________________________________


Custodian City
State and Zip Code


____________________________________


Custodian Telephone
Number


 


 


	
  III.

  	
  Name in which title is to be
  held (Please Print—the Securities will be issued in this name):

  
	
   

  	
   

  
	
   

  	
  ___________________________________________________________________

  
	
   

  	
  First Name

  	
  Middle Initial

  	
  Last Name

  



 



 12
 






 



 


	
  IV.

  	
  Addresses

  
	
   

  	
   

  
	
   

  	
  (A)          Address
  of Subscriber’s Domicile and Bona Fide Residence:

  
	
   

  	
   

  
	
   

  	
  ___________________________________________________________________

  
	
   

  	
  Street Address or PO Box

  
	
   

  	
   

  
	
   

  	
   

  
	
   

  	
  ___________________________________________________________________

  
	
   

  	
  City, State and Zip Code

  
	
   

  	
   

  
	
   

  	
   

  
	
   

  	
  ________________________________

  
	
   

  	
  Telephone Number

  
	
   

  	
   

  
	
   

  	
   

  
	
   

  	
  ________________________________

  
	
   

  	
  E-Mail Address

  
	
   

  	
   

  
	
   

  	
   

  
	
   

  	
  (B)          Address
  to Which Correspondence Should be Directed (if different from above):

  
	
   

  	
   

  
	
   

  	
  ___________________________________________________________________

  
	
   

  	
  Street Address or PO Box

  
	
   

  	
   

  
	
   

  	
  ___________________________________________________________________

  
	
   

  	
  City, State and Zip Code

  
	
   

  	
   

  
	
   

  	
  ________________________________

  
	
   

  	
  Telephone Number

  
	
   

  	
   

  
	
   

  	
   

  
	
  V.

  	
  Social Security or Tax ID Number

  
	
   

  	
   

  
	
   

  	
  ________________________________

  	
  ___________________________________

  
	
   

  	
  Tax ID or Social Security Number

  	
  Tax ID or Social Security Number

  
	
   

  	
  (Primary subscriber)

  	
  (Second subscriber, partner, or trustee)

  
	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  



 



 13
 






 



 


	
  VI.

  	
  Signatures:

  
	
   

  	
   

  
	
   

  	
  (A)          Individual
  Signatures for Individuals, IRA’s, Joint Tenants and Tenants in Common

  
	
   

  	
   

  
	
   

  	
  ________________________________

  	
  ___________________________________

  
	
   

  	
  Signature

  	
  Second Signature (if purchasing as joint

  
	
   

  	
   

  	
  tenants or tenants in common, both

  
	
   

  	
  ________________________________

  	
  parties must sign)

  
	
   

  	
  Date

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
  (B)          Corporate,
  Partnership, Trust and other Entities

  
	
   

  	
   

  	
   

  
	
   

  	
  ________________________________

  	
  ____________________________________

  
	
   

  	
  Print Name of Entity

  	
  Entity Type (Partnership, corporation, trust, etc.)

  
	
   

  	
   

  	
   

  
	
   

  	
  ________________________________

  	
  ____________________________________

  
	
   

  	
  By (signature of person signing)

  	
  Its (title of person signing)

  
	
   

  	
   

  	
   

  
	
   

  	
  ________________________________

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
  Date

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
  (C)          IRA
  Custodian (to be signed only if securities are to be held in an IRA)

  
	
   

  	
   

  	
   

  
	
   

  	
  ________________________________

  	
   

  
	
   

  	
  By (signature of authorized person)

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
  ____________________________________

  	
   

  
	
   

  	
  Name (print name of person signing)

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
  ____________________________________

  	
   

  
	
   

  	
  Its (title of person signing)

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
  ________________________________

  	
   

  
	
   

  	
  Date

  	
   

  
	
   

  
	
  This
  Subscription Agreement and Letter of Investment Intent is accepted as of

  	
  ______________________.

  	
   

  
	
   

  	
  (day, month,
  year)

  	
   

  
					



 


	
  

  	
  Ballistic Recovery Systems, Inc.

  
	
   

  	
   

  
	
   

  	
  By

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
  Its

  	
   

  



 



 14
 






 



CERTIFICATE OF SIGNATORY

(not
to be completed by individuals)


I, ____________________________________________________,
am the ____________________________ of


(printed name of person
signing; first, mi, last name)                                                    (title)


______________________________________________________________ (the
“Entity”).


(name of entity)


I certify that I am
empowered and duly authorized by the Entity to execute and carry out the terms
of the Subscription Agreement and Letter of Investment Intent and to purchase
and hold the Units, and certify further that the Subscription Agreement and
Letter of Investment Intent has been duly and validly executed on behalf of the
Entity and constitutes a legal and binding obligation of the Entity.


IN WITNESS WHEREOF, I have hereto set my hand this
______ day of the month of __________________ in the year _______.


_____________________________________________


(Signature)



 15