Purchaser representative questionnaire. (Appendix).

GrowCo, Inc. (a [STATE] Company) Private Placement of Company Interests ("Shares")

GrowCo, Inc. [ADDRESS] Attn: C.E.O.

Gentlemen:

The information contained herein is being furnished to you in order for you to determine whether the a sale of shares (the "Shares") representing shareholder interests in GrowCo, Inc. (the "Company"), may be made to the following prospective Investor:

(Insert name of prospective Investor) --

in light of the requirements of Section 4(2) of the Securities Act of 1933, as amended (the "Securities Act") and Rule 504 of Regulation D promulgated thereunder. The undersigned understands that (a) you will rely on the information set ...

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