Lavender Ridge Winery
 

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If you wish to receive more information about this opportunity and how to proceed with possible investment, please complete the following and submit your contact information

This personal and confidential information is only being used for exploratory purposes and does not obligate the applicant or Lavender Ridge Vineyard & Estate Winery Inc. (the "Company") to any commitments to purchase or issue shares. This information is being asked for and supplied in order for future communication regarding investment opportunity. This investment opportunity is limited to investors resident in the Provinces of British Columbia and Alberta.

all mandatory fields are marked with an asterix ( * )

* Name(s):
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* Address:
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The following is a condensed version of an accredited investor application that is attached as a schedule to the subscription agreement. This form must be completed by the applicant in its entirety, in order for any subscription for shares to be accepted by the Company. The purpose of these questions is to determine whether you will qualify for participation in a private placement onder the Security Act (British Columbia) and Mational Instrument 45-106 (collectively, the "Applicable Securities Legislation").

The Applicable Securities Legislation provides for a number of exemptions. The exemptions to be relied on by the Company for this private placement are as follows:

* Please indicate which exemptions apply to you by ticking the appropriate box.

A. an individual who, either alone or with a spouse, beneficially owns, directly or indirectly, financial assets (cash and securities) having an aggregate realizable value that before taxes, but net of any related liabilities, exceeds $1,000,000; or

B. an individual whose net income before taxes exceeded $200,000 in each of the two most recent years or whose net income before taxes combined with that of a spouse exceeded $300,000 in each of the two most recent years and who, in either case, reasonably expects to exceed that net income level in the current year; or

C. a company, other than a mutual fund or non-redeemable investment fund, that, either alone or with a spouse, has net assets of a least $5,000,000; or

D. a company in respect of which all of the owners of interests, direct, indirect or beneficial, are persons that are accredited investors; or
E. an individual registered or formerly registered under the securities legislation of a jurisdiction of Canada as a representative of a registered securities dealer.

2. $150,000 exemption

In the event that you do not qualify as an accredited investor under any of the forgoing categories, then you can qualify to participate in the private placement provided that you must purchase shares worth no less than $150,000.

$150,000 exemption (minimum investment)

Upon sending this information you will be contacted by phone or e-mail within 3 days to answer any questions and receive additional information.