Investment Agreement Form

Understanding

This is a binding investment agreement between the Investor named below and Our Market at the Plaza Cooperative, a Legal Grocery Cooperative registered with the State of Illinois.

Investor First Name *

Investor Last Name *

Agreement

Number of Common Stock (Owner) 1 per household x $200 *Yes, I would like to buy 1 common stock for $200No, I do not want to buy common stock

Purchase Preferred Stock at $1000 per share

Number of Preferred Stock

Preferred Stock Investment Total ($)

Total Investment ($)

Effective Date *

Contact Information

Investor Name(s) *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal code *

Country *

Phone *

Email Address *

Signatures

Signature *

Start signing your signature here

Investor's Printed Name *

Credit / Debit Card *

*Our Market is a start-up cooperative. Estimates are based on good-faith knowledge obtained through research. There is no guarantee that revenues will be made. Hypothetical or simulated performance is not indicative of future results.

**The securities being sold in this offering have not been approved or disapproved by the Securities and Exchange Commission (SEC) or any state securities authority, nor has the commission or any state securities authority passed upon the accuracy or adequacy of this memorandum. Any contrary representation is a criminal offense.

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