SUBSCRIPTION FORM
To: I-TRACK, INC.
The undersigned hereby acknowledges receipt of the Prospectus, dated
___________, 2000, of i-Track, Inc. (the "Company") 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, to
Price Per Share: $ availability, and to certain other
------------- conditions, and any subscription may
Payment Enclosed: $ be declined in whole or in part by
------------- return of the subscription monies
without interest.
(Make checks payable to "i-Track, Inc.")
Accepted by Company:
Date:_________________, 2000
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Authorized officer
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for Shares
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(Signature(s) of Subcriber(s)
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Social Security or Tax I.D. Check one if more than one owner:
The certificates for such stock are [ ] Joint tenants WRS
to be issued as follows:
[ ] Tenants in Common
----------------------------------- [ ] Custodian under UGMA
Name(s)
Other:
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Address
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