Subscription Agreement

Please Complete the Subscription Agreement Below

Subscription Agreement

Please copy this info, paste into your word processor complete, sign, recopy and send completed document and funds to VCF at 60 Hanover St. Lebanon NH 03766

Valley Community Fund Inc
$2,000,000 Unsecured Social Investment Notes-Series A Subscription Agreement
Note that completing this subscription and sending it to VCF along with providing funds to VCF constitutes an offer to purchase a Social Note
This agreement upon countersignature by the Fund will be a loan agreement

Name(s): ______________________________________________________________________
______________________________________________________________________
Social Security or Tax ID #:_______________________________________________________
Mailing Address: Street or  PO Box

State: ___________________________Zip _____________Phone: _______________________
Email: ________________________________________________________________________
AMOUNT: Minimum $1,000 _____________________

See Terms and Interest Rates
TERM; Minimum 2  years _____________________

INTEREST RATE: 1.00%, 2.00%, 3.00%      _____________________

INTEREST PAYMENT OPTIONS
 Donate  Reinvest  Pay at maturity  Annual check/electronic payment
 Semi-annual check/electronic payment (Only if more than $50)
I wish to pay by:  Check enclosed  ACH transfer
This agreement upon countersignature by the Fund will be a loan agreement
I have satisfied myself with respect to the information, risks and terms of this investment and understand and consent to the terms thereof.
Name(s)-Print_________________________________________________________________
_________________________________________________________________

ACCEPTANCE: The above subscription has been accepted by VCF and constitutes an unsecured note with the term, interest rate, and interest payment terms :

VALLEY COMMUNITY FUND INC.

BY: ____________________________________                    Date______________________________