OBITX, INC. INDIVIDUAL SIGNATURE PAGE Your signature on this Individual Signature Page evidences the agreement by you to be bound by the Subscription Agreement and Shareholders Agreement. 1. The undersigned hereby represents that (a) the information contained in this Subscription Agreement is complete and accurate and (b) the undersigned will notify Alex Mardikian, Company Secretary (321.802.2474), immediately if any material change in any of this information occurs before the acceptance of the undersigned ‘s subscription and will promptly send the Company written confirmation of such change. 2. The undersigned hereby certifies that he or she has read and understands this Subscription Agreement and Shareholders Agreement. IN WITNESS WHEREOF, THE Subscriber has executed this Subscription Agreement this ___ day of __________ 2017. I. Number of Shares Aggregate Subscription Price: $ Business Name or Name of Individual: Address: If individual, age: Telephone Number(s): Residence: Business: Federal Tax I.D. or Social Security Number: (Signature) (Printed or typed name and Title) (Second signature-required if Shares held in more than one name) Subscription for Shares is hereby accepted by the Company this ____ day of __________, 2017 OBITX, INC. By: 3 |