SPECIAL ACQUISITIONS, INC.
SUBSCRIPTION AGREEMENT
For shares of common stock
Offering price $5.00 per share
The undersigned, having received the Prospectus for SPECIAL ACQUISITIONS,
INC., hereby offers to purchase common shares at the offering price of $5.00
per share.
The offer is subject to receipt of funds and acceptance by the Company.
SUBSCRIPTION AMOUNT: $_______________________
I enclose the amount indicated above as full payment for the common shares
subscribed to at $5.00 per share.
PLEASE MAKE YOUR CHECK PAYABLE TO: COLORADO BUSINESS BANK - ESCROW AGENT
MAIL TO: SPECIAL ACQUISITIONS, INC.
Attn: Xxxxx Xxxxxx
0000 Xxxxx Xxxxxx Xxxxxx
Xxxxxx, XX 00000
_____________________________________________________________________________
Subscribers' Name(s) and Social Security Number(s) (PLEASE PRINT)
_____________________________________________________________________________
Street Address
_____________________________________________________________________________
City State/Zip Telephone
Instructions for Issuing Certificate (Please xxxx one below)
_____ 1. Individual
_____ 2. Joint Tenancy with Right of Survivorship
_____ 3. Tenants in Common
_____ 4. Gift to Minor (name of minor: ___________________________
_____ 5. Other (name/type of entity) ________________________________________
_____________________________________________________________________________
___________________________________________ Date:________________________
Subscriber's Signature(s)
___________________________________________ Date:________________________
Subscriber's Signature(s)
Accepted: SPECIAL ACQUISITIONS, INC.
By:________________________________________ Date:________________________
