SUBSCRIPTION FORM
To: Expressions Graphics, Inc.
The undersigned hereby acknowledges receipt of the
Prospectus, dated _________, 2000 of Expressions Graphics, Inc. and subscribes for the
following number of shares of the company upon the terms and conditions set forth therein:
| Number of Shares: _______ |
All subscriptions are subject to acceptance by the company, |
| Price per Share: $ _______ |
to availability, and to certain other conditions, and any |
| Payment Enclosed:$ _______ |
subscription may be declined in whole or in part by return |
|
of the subscription monies without interest. |
| Make checks payable to: |
|
| Expressions Graphics, Inc. |
Accepted by Expressions Graphics, Inc.: |
|
|
| Date: ___________, 2000 |
____________________________________ |
|
Authorized Officer |
| _________________________________ |
|
| Signature(s) of Subscriber(s) |
for ________________ shares. |
|
|
| _________________________________ |
|
|
|
| _________________________________ |
|
| Social Security or Tax I. D. |
|
| The certificates for such stock are to be |
Check one if more than one owner: |
| issued as follows: |
|
|
[ ] Joint Tenants WRS |
| __________________________________ |
|
| Name(s) |
[ ] Tenants in Common |
|
|
| __________________________________ |
[ ] Custodian under UGMA |
|
|
|
[ ] Other: ______________________ |
| __________________________________ |
|
| Address(s) |
____________________________ |
|
|
| __________________________________ |
|
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