SUBSCRIPTION AGREEMENT
OF
INSIDER TRAVEL XXXXX.XXX, INC.
1. PURCHASE
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The undersigned hereby subscribes for the purchase of
__________________ shares of INSIDER TRAVEL XXXXX.XXX, INC., a Nevada
corporation (the "Company"). With this document the undersigned is submitting
the sum of $ ____________________ in cash, check, money order, or equivalent, as
payment for said shares at the price of $0.05 per share. Checks or money orders
are to be made payable to "Brighton Bank-Escrow Agent for Insider Travel
Xxxxx.Xxx, Inc." until the offering closes.
2. REPRESENTATIONS
---------------
The undersigned hereby represents and warrants that:
(a) He/she is aware that, pursuant to Section 14 of the Securities Act
of 1933, any provision is void that binds a person acquiring a security to waive
compliance with any provision under the federal securities law;
(b) The undersigned, if a natural person, is over the age of twenty-one
years;
(c) The undersigned has received and read a copy of the prospectus of
the Company;
(d) The undersigned acknowledges that neither the United States
Securities and Exchange Commission, nor any other state or federal agency has
made any determination as to the merits of purchasing any of such shares, and
that the purchase of any interest involves a very high degree of risk;
(e) The undersigned acknowledges that the application of purchase may
be accepted in whole or in part or rejected by the Company, and that, to the
extent the application may be rejected, the accompanying payment will be
refunded without the deduction of expenses;
(f) The offer and sale of these shares to the undersigned were made by
means of the Company's prospectus only, and no other documents or advertisements
were used in connection therewith; and
(g) The undersigned was offered and is purchasing these shares within
the state of
3. TYPE OF OFFERING
----------------
The undersigned hereby further acknowledges that these shares are
being offered and sold pursuant to a registration statement on Form SB-l under
the Securities Act of 1933, as amended, and that such shares may only be offered
and sold in states in which the securities have been qualified for sale.
AFFIRMATION
THE UNDERSIGNED HEREBY SWEARS AND AFFIRMS THAT HE OR SHE HAS READ THE FOREGOING
SUBSCRIPTION AGREEMENT OF INSIDER TRAVEL XXXXX.XXX, INC. AND IS FAMILIAR WITH
THE CONTENTS THEREOF AND THAT ALL OF THE REPRESENTATIONS CONTAINED THEREIN ARE
TRUE AND ACCURATE
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[Printed Name of Subscriber] [Signature]
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[Street Address and Number]
------------------------------------
[City, State and Zip Code]
------------------------------------
[Tax Identification or Social
Security Number of Subscriber]
The Company is requested to issue the stock certificate(s) as follows:
Name(s):____________________________________ Number of Shares:_____________
[Please Print]
Name(s):____________________________________ Number of Shares:_____________
[Please Print]
485980
