Home Contact Us Specials Fun Stuff My Account Shopping Cart

CityMade Direct Public Offering

CITYMADE, INC.
ONLINE INVESTOR SUBSCRIPTION AGREEMENT
(New York State Residents)

By subscribing for shares you indicate that you have read the offering document (prospectus) and, if needed, have sought advice from your financial counselor.

Online Instructions: Simply complete the form below and make an online payment with your credit card. CityMade uses Authorize.net as its online payment processor, one of the Internet's most established, and proven to be one of the most secure, reliable and convenient on a world-wide basis.

When accepted by CityMade, Inc., a New York corporation (the Company), this Subscription Agreement shall constitute an irrevocable subscription for shares of Common Stock, par value $0.0001, of the Company. Shares are being sold at a price of US$2.00 per share, with a minimum investment of US$300 (150 shares) to one (1) subscriber per subscription.  A copy of the accepted Agreement will be returned as a receipt and a stock certificate will be issued shortly thereafter.

The undersigned (referred to herein as the Subscriber) desires to become a SHAREHOLDER and hereby irrevocably tenders this subscription agreement and subscribes for that number of shares (the Shares) of the Company's common stock as stated below, at the price of One Dollar and Twenty Five Cents (US$2.00) per share, upon the terms, conditions and representations set forth herein.

  1. The Subscriber acknowledges and represents as follows:
    1. That the Subscriber has received and carefully reviewed the Company's prospectus, dated December 4, 2009, (the Offering Document or Prospectus) and that the Subscriber does not rely upon the verbal representation made by any officer, employee or agent of the Company. Notwithstanding the availability of other relevant information on the Internet or elsewhere, Subscriber represents that this subscription is based upon the information contained within said Offering Document; and
    2. That the Subscriber is eighteen (18) years of age or older and has the net worth and/or income to be able to bear the economic risk of an investment in the Shares; and
    3. That the Subscriber has such knowledge and experience in financial and business matters so as to be capable of evaluating the merits and risks of an investment in the Shares; and
    4. That the Subscriber has determined that the Shares are a suitable investment for him, her or it and meets his, her or its investment objectives and financial needs, and that the Subscriber has adequate means for providing for current financial needs and personal contingencies and has no need for liquidity if a market for the Shares does not develop; and
    5. That the Subscriber recognizes that an investment in the Shares is highly speculative and involves a high degree of risk, including those in the Prospectus discussed under the heading Risk Factors; and
    6. That the Subscriber is purchasing the shares herein for investment purposes only.
  2. The Subscriber represents and warrants that he, she or it is a bona fide resident of, and is domiciled in the State, or jurisdiction, stated below and that the Shares are being purchased solely for the beneficial interest of the Subscriber.
  3. The Subscriber understands that the Company will use and rely upon all of the representations, warrants, registration and subscriber information provided herein.

Because your share ownership claim is important be sure to provide accurate information. Incomplete or false answers will automatically disqualify your subscription. Please fill out all fields..

Your information will be kept strictly confidential. (Note: Please complete all information. If you leave out a required item, you will receive an error. Click the "back" arrow on your browser and you will be returned to this page. In case of error NONE of your information is transmitted.)

Share Registration Name:


Quantity of shares claimed, minimum of 150 shares at $2 per share:


Are you an accredited investor as defined by Rule 501 of SEC Regulation D?
Yes
No

Are you a New York State resident?
Yes
No

Social Security Number or Tax Payer ID:


Subscriber Description (Select one that applies)