EX-10.5 9 subscriptionagreement.htm INVESTOR SUBSCRIPTION AGREEMENT

INVESTOR SUBSCRIPTION AGREEMENT


FOR


B2 HEALTH, INC.



Persons interested in purchasing shares ("Shares") of Common Stock of B2 Health, Inc., a Delaware corporation (the "Company") must complete, execute, and deliver this Subscription Agreement (the "Agreement") along with their check made payable to “B2 Health, Inc. Escrow Account, Corporate Stock Transfer, Inc., Escrow Agent” to:


B2 Health, Inc.

7750 N. Union Blvd., Suite 201

Colorado Springs, CO  80920


If and when accepted by the Company, this Agreement shall constitute a subscription for shares of Common Stock, $.0001 par value per share of the Company.


The Company reserves the right to reject in its entirety any subscription which is tendered or to allocate to any prospective purchaser a smaller number of shares than the prospective purchaser has subscribed to purchase.  In such event, the Company will return to you at the address set forth in this Agreement your payment (or a pro rata portion of your payment, if such subscription is rejected only in part), without interest or deduction.


An accepted copy of this Agreement will be returned to you as your receipt, and a stock certificate will be issued to you shortly thereafter.


I/we hereby tender this Agreement for the purchase of ________  shares, at a price of $1.00 per share.  With this Agreement, I/we tender payment in the amount of $________ ($1.00 per share) for the shares subscribed.


In connection with this investment in the Company, I/we represent and warrant as follows:


a.       Prior to tendering payment for the shares, I/we received and reviewed the Company's prospectus dated March ____, 2007,  and have relied on no other information or materials in reaching my/our investment decision.


b.       I/we represent and warrant that no broker-dealer or member of the National Association of Securities Dealers, Inc. has participated or been involved in any manner whatsoever in my investment decision.


c.       I am/we are bona fide resident(s) of   

                                

____________________________

                                                              (State)

         

_____________________________

                    

(Country)





d.

I/we understand and agree that this subscription agreement is subject to the terms and conditions of the Fund Escrow Agreement more fully described in the Company’s prospectus


Please register the shares which I am/we are purchasing as follows:


         Name: _____________________________________________

              


As (check one):


____

Individual

____

Tenants-in-Common

                                                     

____

Partnership   

____

Joint Tenants

                                                     

____

Corporation

____

Trust

                                                     

____

Minor with adult custodian

         

Under the Uniform Gift

         

to Minors Act


For the person(s) who will be registered shareholder(s):



Name: __________________________

Telephone: ______________________


Social Security or Taxpayer ID number: ______________________________________


Street Address:

________________________________________


_____________________________________________________

City              State    Zip              


Date of Birth: ________________________



______________________________________

____________________________

Signature                                   

Date



ACCEPTED BY:   B2 HEALTH, INC.



By: ____________________________________

_____________________________

                                        Date:                            

Its: ____________________________________