EX-99.1 8 exh991.htm SUBSCRIPTION AGREEMENT Exhibit 99.1

Exhibit 99.1

SUBSCRIPTION AGREEMENT

Design Source, Inc.
2113 Wisley Way
Wake Forest, NC 27587

Dear Sirs:

Concurrent with execution of this Agreement, the undersigned (the "Purchaser") is purchasing __________________________________________________ (__________) shares of Common Stock of DESIGN SOURCE, 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. Peter Reichard 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. Reichard.

MAKE CHECK PAYABLE TO: DESIGN SOURCE, INC.

Executed this _____ day of ___________________, 2004.



 





 

Signature of Purchaser



 

Address of Purchaser

 



 

Printed Name of Purchaser

 

PLEASE ENSURE FUNDS ARE IN US DOLLARS

 

X $0.10

=

US$

Number of Shares Purchased

 

 

 

Total Subscription Price

 

Form of Payment:

Cash:___________

Check #: _____________

Other: _________________

 

DESIGN SOURCE, INC.

 

By:



 

 

Title: