Exhibit 99.1
SUBSCRIPTION AGREEMENT
Surna Inc.
2nd Floor, 1901 Avenue of the Stars
Los Angeles, CA 90067
Dear Sirs:
Concurrent with execution of this Agreement, the undersigned (the “Purchaser”) is purchasing _______________________________________________ (__________) shares of Common Stock of Surna 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. Richard Clarke and Ms. Cherry Ping-Wai Lim 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. Clarke or Ms. Lim.
MAKE CHECK PAYABLE TO: SURNA INC.
Executed this _____ day of ___________________, 2010.
_________________________________________________ | _________________________________________________ | |
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: _______________ |
SURNA INC. | |
By: | ________________________________________ |
Title: | ________________________________________ |