EXHIBIT 10 (a) (17)
INTER*ACT ELECTRONIC MARKETING, INC.
SUBSCRIPTION AGREEMENT
THIS SUBSCRIPTION AGREEMENT (the "Agreement") by and between Inter*Act
Electronic Marketing, Inc., a North Carolina corporation (the "Corporation") and
the undersigned subscriber (the "Subscriber") for shares of the Corporation's
10% Series C Mandatorily Convertible Preferred Stock ("Preferred Stock") and
Common Stock Purchase Warrants ("Warrants") being offered pursuant to the terms
described in a Confidential Private Placement Memorandum dated ______________
(the "Memorandum").
WHEREAS, the Corporation has offered the Subscriber an opportunity to
purchase units consisting of one share of Preferred Stock and one Warrant to
purchase shares of Common Stock of the Corporation (the "Units") pursuant to a
private offering (the "Offering") of up to 250,000 Units pursuant to the terms
described in the Memorandum that has been delivered to the Subscriber by the
Corporation,
WHEREAS, the Subscriber desires to purchase certain of the Units
being offered;
NOW, THEREFORE, the parties hereby agree as follows:
1. The Subscriber hereby subscribes and agrees to purchase, subject to
the terms and conditions of this Subscription Agreement (the "Agreement") the
number of Units set forth at the end of this Agreement. This subscription and
Agreement represent an irrevocable offer by the Subscriber to subscribe for such
number of Units, except as expressly provided herein. This Agreement, subject to
the terms hereof, shall become a contract for the sale of said Units upon the
acceptance thereof by the Corporation on or before February 11, 2000, or such
later date to which the Corporation may extend the Offering.
2. The Corporation reserves the unrestricted right to accept or reject
this subscription, in whole or in part and to withdraw this offer at any time,
as provided in the Memorandum. The subscription will not become effective unless
and until accepted by the Corporation.
3. Please check the method of payment.
[ ] This subscription is accompanied by a check in an amount
representing $100.00 for each Unit to which the Subscriber has
subscribed. The check is payable to "Bank of America, as
Escrow Agent for Inter*Act Electronic Marketing, Inc." (the
"Escrow Agent") as Escrow Agent for both the Subscriber and
the Corporation.
[ ] The Subscriber has wired funds in an amount representing
$100.00 for each Unit to which the Subscriber has subscribed
to the following account:
Bank of America, N.A.
ABA # 000000000
Credit to FTA 018-00-1981-0
Attention: Settlements
Reference: Inter*Act Systems Escrow Account
Account No: 10-02-002-0000000
4. If this subscription is not accepted by the Corporation by February
11, 2000, or such later date to which the Corporation may extend the Offering,
the Escrow Agent shall promptly return the full amount of the Subscriber's
deposit with interest to the Subscriber. If this subscription is accepted by the
Corporation, the Escrow Agent shall pay the full amount of the Subscriber's
deposit, plus interest earned thereon, into an account established by the
Corporation.
5. The Subscriber hereby makes the representations and warranties set
forth below with the express intention that they be relied upon by the
Corporation in determining the suitability of the Subscriber to purchase Units:
a. The Subscriber is fully aware that the Units (including the
Preferred Stock, the Warrants and the underlying Common Stock) have not
been registered under the Securities Act of 1933, as amended (the
"Act"), or under any applicable state securities law. The Subscriber
further understands that the Units are being sold in reliance on the
exemptions from the registration requirements of the Act provided by
Section 4(2) thereof and by Regulation D promulgated thereunder, and in
reliance on exemptions from the registration requirements of the
applicable state law, on the ground that the Offering involved has been
limited to "accredited investors" within the meaning of Rule 501(a)
under the Securities Act of 1933, as amended (the "1933 Act"), and
existing shareholders of the Corporation who are "qualified investors,"
within the meaning of Rule 506 under the 1933 Act are also eligible
provided that the total number of all such qualified investors does not
exceed 35.
b. The Subscriber is acquiring the Units for his, her or its
own account as principal for the Subscriber's investment and not with a
view to resale or distribution;
c. The Subscriber has been furnished and has carefully read
the Memorandum and the attachments thereto and enclosures therewith and
has been given the opportunity to ask questions of, and receive answers
from, the Corporation concerning the terms and conditions of the
Offering and to obtain such additional information that the Corporation
possesses or can acquire without unreasonable effort or expense that is
necessary to verify the accuracy of the information contained therein
or information that has been otherwise provided by the Corporation;
d. The Subscriber fully understands and agrees that the
Subscriber must bear the economic risk of investment in the Units for
an indefinite period of time because, among other reasons, the Units
(including the Preferred Stock, the Warrants and the underlying Common
Stock) have not been registered under the Act, or under any applicable
state securities laws, and, therefore, cannot be sold, pledged,
assigned or otherwise disposed of unless they are subsequently
registered under any applicable securities laws or an exemption from
such registration is available. The Subscriber further understands and
agrees that the Corporation will not honor any attempt by the
Subscriber to sell, pledge, transfer or otherwise dispose of any of the
Units (including the Preferred Stock, the Warrants and the
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underlying Common Stock) in the absence of an effective registration
statement for such securities or an opinion of counsel satisfactory to
the Corporation that an exemption from any applicable registration
requirements is available. The Subscriber further understands that the
Corporation is under no obligation to register the Units (including the
Preferred Stock, the Warrants and the underlying Common Stock) or make
an exemption from registration available and that the Corporation has
not represented that it will make any attempt to so register the Units
(including the Preferred Stock, the Warrants and the underlying Common
Stock) or to make such an exemption thereto available;
e. The Subscriber understands that the certificate(s)
representing the Preferred Stock will bear restrictive legends
substantially in the following form:
THE SHARES EVIDENCED BY THIS CERTIFICATE HAVE NOT
BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED,
OR UNDER THE SECURITIES LAWS OF ANY STATE. THE SHARES MAY NOT
BE SOLD, TRANSFERRED, PLEDGED OR HYPOTHECATED IN THE ABSENCE
OF AN EFFECTIVE REGISTRATION STATEMENT UNDER THE SECURITIES
ACT OF 1933, AS AMENDED, AND SUCH REGISTRATION OR
QUALIFICATION AS MAY BE NECESSARY UNDER THE SECURITIES LAWS OF
ANY STATE, OR AN OPINION OF COUNSEL SATISFACTORY TO THE
CORPORATION THAT SUCH REGISTRATION OR QUALIFICATION IS NOT
REQUIRED.
THE SHARES OF COMMON STOCK INTO WHICH THE SHARES
REPRESENTED BY THIS CERTIFICATE ARE CONVERTIBLE, AND THE
TRANSFER THEREOF, ARE SUBJECT TO THE PROVISIONS OF THAT
CERTAIN SHAREHOLDERS' AGREEMENT DATED AS OF APRIL 16, 1993, AS
AMENDED AND AS MAY BE SUBSEQUENTLY AMENDED. COPIES OF THE
SHAREHOLDERS' AGREEMENT AND AMENDMENTS THERETO ARE ON FILE IN,
AND MAY BE EXAMINED AT, THE PRINCIPAL OFFICE OF THE
CORPORATION.
and that the Warrants will bear substantially similar legends.
f. The Subscriber has sought such accounting, legal and tax
advice as the Subscriber has considered necessary to make an informed
investment decision;
g. The Subscriber is aware that no federal or state agency has
made any finding or determination as to the fairness of an investment
in the Units, nor any recommendation or endorsement of any such
investment; and
h. The Subscriber has delivered herewith a Representation of
Accredited Investor (attached hereto as Exhibit 1) or a Representation
of Qualified Investor (attached hereto as Exhibit 2), as the case may
be, and the Subscriber represents that the information contained in
such Representation is true and accurate as of the date hereof. The
Subscriber
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agrees to advise the Corporation if any of the information contained in
the Representation materially changes prior to acceptance of this
subscription.
i. The Subscriber has delivered herewith a Form W-9 - Request
for Taxpayer Identification Number and Certification (attached as
Exhibit 3 hereto), and the Subscriber represents that the information
contained in such Form W-9 is true and accurate as of the date hereof.
The Subscriber agrees to supplement the information in such Form W-9 as
may be necessary to ensure that the information contained in such Form
W-9 remains correct in all material respects.
6. The Subscriber acknowledges that subscribers who upon conversion of
their shares of Preferred Stock would own more than 1% of the total number of
shares of outstanding Common Stock ("Eligible Holders") will be entitled to the
registration rights set forth on Exhibit 4 hereto. The Subscriber agrees to be
bound by the terms set forth on Exhibit 4 hereto to the extent that it attempts
to exercise registration rights in respect of Common Stock issued upon
conversion of its shares of Preferred Stock.
7. The Subscriber acknowledges that the Common Stock of the Corporation
into which the shares of Preferred Stock are convertible and for which the
Warrants are exercisable will be issued subject to a Shareholders' Agreement
dated as of April 16, 1993 among the Corporation and all of its shareholders, as
amended by Amendment No. 1 to Shareholders' Agreement dated as of June 17, 1994
(the "Shareholders' Agreement"). The Subscriber hereby agrees that upon any
conversion of the shares of Preferred Stock or exercise of the Warrant, the
Subscriber will execute a Joinder Agreement and will agree to be bound by the
terms of the Shareholders' Agreement, as it may be amended from time to time,
unless the Shareholders' Agreement is terminated prior to the issuance of Common
Stock to Subscriber. Notwithstanding the foregoing, however, in the event the
Shareholders' Agreement is terminated prior to the issuance of Common Stock to
the Subscriber, the Subscriber nevertheless agrees to be bound by the lock-up
agreement contained in Section 23 of the Shareholders' Agreement or any similar
lock-up agreement then in effect with respect to the Company's shareholders. A
copy of the Shareholders's Agreement is available upon request.
8. The subscription herein shall survive the death or disability of any
individual Subscriber and the dissolution or termination of any subscribing
entity, and this Agreement shall be binding upon the heirs, executors,
administrators, successors and assigns of any such Subscriber. All pronouns and
any variations thereof used herein shall be deemed neuter, singular or plural as
the identity of the Subscriber may require.
[Continued on Following Page]
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The number of Units subscribed for by the Subscriber and their
registration of ownership are set forth as follows:
PLEASE TYPE OR PRINT
Owner: _______________________________
_______________________________
Social Security or Federal
Employer ID Number
Residence _______________________________
Address: _______________________________
Mailing Address
(if other than ________________________________
Residence): ________________________________
Telephones: Res. ___________________________
Bus. ___________________________
Joint Owner:
(if any): ________________________________
________________________________
Social Security or Federal
Employer ID Number
Residence ________________________________
Address: ________________________________
Mailing Address
(if other than ________________________________
Residence): ________________________________
Telephones: Res. ___________________________
Bus. ___________________________
PREFERRED SHARES TO BE REGISTERED AS INDICATED BELOW:
[ ] Sole ownership
[ ] Joint tenants with right of survivorship
[ ] Tenants in common
Number of Units (consisting of (i) one share of 10% Series C Mandatorily
Convertible Preferred Stock convertible into 7.14 shares of Common Stock and
(ii) one Common Stock Purchase Warrant to purchase 7.14 shares of Common Stock
at a price of $14.00 per share) subscribed for:
------------------------
Total Purchase Price ($100.00 per Unit):
------------------------
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Dated: _______________, 2000
SIGNATURE FORM FOR INDIVIDUALS
____________________________________ (SEAL)
Signature
Name: _____________________________
____________________________________ (SEAL)
(Signature of Joint Owner, if any)
Name: _____________________________
SIGNATURE FORM FOR CORPORATIONS:
____________________________________
(Name of corporation)
By:_________________________________
(Signature of Officer)
____________________________________
(Name and Title)
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Dated: ____________________, 2000
SIGNATURE FORM FOR PARTNERSHIPS OR LIMITED LIABILITY COMPANIES:
____________________________________
(Name of Partnership or LLC)
By its General Partners or Managers:
____________________________________
Name:
____________________________________
Name:
____________________________________
Name:
SIGNATURE FORM FOR TRUSTS:
____________________________________
(Full Name of Trust)
By its Trustee (s):
____________________________________
Name:
____________________________________
Name:
____________________________________
Name:
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ACCEPTANCE OF SUBSCRIPTION
The foregoing Subscription Agreement is ACCEPTED on behalf of the
Corporation as of this ____ day of __________________, 2000 to the extent
of _____________ Units.
INTER*ACT ELECTRONIC MARKETING, INC.
By: _______________________________
Name:
Title:
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