Print Name of Investor: ______________________________________________________
PACIFIC CMA, INC.
SUBSCRIPTION AGREEMENT
TO: PACIFIC CMA, INC.
Attention: [ ]
1. SUBSCRIPTION
The undersigned hereby subscribes for and agrees to purchase the number
of shares (the "Shares") of common stock (the "Common Stock") of Pacific CMA,
Inc., a Colorado corporation (the "Company") indicated at the end of this
Subscription Agreement, at a subscription price of $[ ] per share, and on such
other terms and conditions as are set forth in this Subscription Agreement (the
"Agreement"). The undersigned will pay for the Shares by wire transfer of funds
or by delivering herewith a check in the amount of the undersigned's
subscription (the "Subscription Price"), as set forth at the end of this
Agreement, payable to "Pacific CMA, Inc." The Shares will be issued on the terms
and conditions set forth in the prospectus (the "Prospectus") of the Company
dated as of January [ ], 2003 with respect to the issuance of a minimum of [ ]
shares and a maximum of [ ] shares of Common Stock. Capitalized terms used
within being defined herein shall have the meanings ascribed to such terms in
the Prospectus.
2. REPRESENTATIONS AND WARRANTIES
The undersigned represents and warrants to and agree with the Company,
with full knowledge that the Company intends to rely hereon, as follows:
a. The undersigned has received the Prospectus and the escrow agreement
(the "Escrow Agreement") between the Company and [ ].
b. The undersigned has not been induced to enter into this Agreement or
to consummate the transactions contemplated hereby by any warranties,
guarantees, promises, statements or representations, whether express or implied,
except those that are expressly and specifically set forth in the Prospectus,
and the Company shall not be bound or liable in any manner by express or implied
warranties, guarantees, promises, statements or representations pertaining to
the undersigned's investment, except as are expressly and specifically set forth
in the Prospectus.
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3. SUBSCRIPTION IRREVOCABLE BY SUBSCRIBER BUT SUBJECT TO ACCEPTANCE OR
REJECTION BY COMPANY
a. This Agreement is not, and shall not be, revocable by the
undersigned. The undersigned intends to be legally bound by this Agreement and
the Escrow Agreement.
b. The Company agrees that the Subscription Price shall be held by it
pursuant to the terms of the Escrow Agreement and shall be returned promptly to
the undersigned upon the Company's rejection of the subscription and shall be
released to the Company upon (A) the acceptance of subscriptions (including this
subscription) by the Company for at least [ ] shares of Common Stock and (B) the
receipt of the payment of the subscription price for such subscriptions.
c. On (i) acceptance of this subscription by the Company as evidenced
by the full execution of this Agreement by the undersigned and the Company and
(ii) (A) the acceptance of subscriptions (including this subscription) by the
Company for at least [ ] shares of Common Stock and (B)the receipt of the
payment of the subscription price for such subscriptions, The undersigned shall
become the beneficial holder of the Shares. [If the Company does not accept
subscriptions (including this subscription) for at least [ ] shares of Common
Stock and receive the payment of the subscription price for such subscriptions
by [ ], 2003, the Company shall reject this subscription.]
4. GOVERNING LAW, MISCELLANEOUS
This Agreement shall be governed by, and construed in accordance with,
the law of the State of Colorado applicable to agreements made and to be
performed wholly within such State, regardless of its place of execution or
performance. All captions of sections are for convenience only. All pronouns and
any variations thereof shall be deemed to refer to the masculine, feminine,
neuter, singular or plural, as the identity of the person or persons or entity
or entities may require. This Agreement is not transferable or assignable by the
Subscriber. If the Subscriber is more than one person, the obligations of the
Subscriber shall be joint and several and the representations, warranties and
agreements herein contained shall be deemed to be made by and be binding upon
each such person and their respective heirs, executors, administrators and
successors and assigns.
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IN WITNESS WHEREOF, the undersigned has executed this Subscription
Agreement on this day of January, 2003.
Subscriber: ___________________________
Signature of Subscriber: ___________________________
Print Name of Subscriber: ___________________________
Print Title/Capacity (if other than Individuals):
Social Security or Tax ID #'s: ___________________________
Subscription Price:
(Amount of Enclosed Check
or Wire Transfer) ____________________________
Number of Shares: ____________________________
Address:
___________________________
Telephone:
Fax: ___________________________
________________________________________________________________________________
Subscription Accepted on this day
of _______________ , 2003
PACIFIC CMA, INC.
By:_______________________________
Name:
Title:
