Subscription Agreement


    
      

      

    

    Exhibit
      4.1

     

    
      

        SUBSCRIPTION
          AGREEMENT

        


        BLS
          Media, Inc.

        1683
          Duarte Drive

        Henderson,
          Nevada 89014

        


        The
          undersigned has received the prospectus dated __________, 2007 (“Prospectus”),
          and hereby subscribes for _____________ shares of $.001 par value common
          stock
          of BLS Media, Inc., a Nevada corporation (“Company”), for a subscription price
          of $0.10 per share (“Offered Shares”). The undersigned hereby agrees that this
          subscription shall be irrevocable and shall survive the death or disability
          of
          the undersigned. Payment of the purchase price for the Offered Shares is
          due
          upon subscription.

        


        The
          undersigned acknowledges that (i) the Company has the right to accept or
          reject
          this subscription in whole or in part, (ii) this subscription shall be
          deemed to
          be accepted by the Company only when the Company signs this Subscription
          Agreement; and (iii) the undersigned has relied only on that information
          specified in the Prospectus.

        


        Number
          of
          Offered Shares: _________________. Subscription Amount: ___________ (number
          of
          Offered Shares multiplied by $0.10)

        


        Make
          check payable to:  “BLS
          Media, Inc.”

        


        Please
          print name(s) or title, residence address, and SSN or Tax ID for which
          the
          Offered Shares are to be registered. Please notify the Company in writing
          if
          your address changes before you either receive your shares or are notified
          that
          your subscription has not been accepted.

        


         

          
            

          

        

        Name

         

          
            

          

        

        Street

         

          
            

          

        

        City      State      Zip
          Code

         

          
            

          

        

        SSN
          or Tax ID No. (For joint ownership, both parties must provide a Social
          Security
          Number or similar tax identification)

        


        


        Indicate
          type of ownership:

         

        

          
            	
                    o
Individual
                      Ownership

                  	 	
                    o
Joint
                      Tenants
                      with Right of Survivorship

                  
	 	 	 
	
                    o
Community
                      Property

                  	 	
                    o
Tenants
                      in
                      Common

                  
	 	 	 
	
                    o
Tenants
                      by the
                      Entirety

                  	 	
                    o
Corporate
                      Ownership

                  
	 	 	 
	
                    o
Partnership
                      Ownership

                  	 	
                    o
Custodian
                      for a
                      Minor

                  
	 	 	 
	
                    o
Trust
                      (see
                      below)

                  	 	
                    o
IRA
                      or Pension
                      Plan

                  


          

           

        

        Date
          Trust Established: 
          


           

        Name
          of
          Trustee or other Administrator:

        
          

        

         

         

        
          
            
            

          

          
            1

            
              

            

          

          
            
            

          

        

         

        

          Each
            subscriber represents that:

        

        


        	(a)  	
                The
                  information contained herein is complete and accurate and may be
                  relied
                  upon, and 

              


        


        	(b)  	
                The
                  undersigned will notify the Company immediately of any material
                  change in
                  any such information occurring prior to the acceptance of the
                  undersigned’s subscription, including any changes in address or other
                  contact information.

              


        


        IN
          WITNESS WHEREOF, the undersigned has executed this Subscription Agreement
          as of
          this ______ day of ____________ 2007.

        


        FOR
          INDIVIDUALS:

        


         

          
            

          

        

        Print
          Name

        


         

          
            

          

        

        Signature

        


        NAME
          AND SIGNATURE OF JOINT TENANT OR TENANT IN COMMON

        


         

          
            

          

        

        Print
          Name

        


         

          
            

          

        

        Signature

        


        FOR
          TRUSTS, CORPORATIONS, PARTNERSHIPS

        


         

          
            

          

        

        Print
          Name of Entity

        


        By:

        
          

        

        Print
          name and capacity (Trustee, President or General Partner) of person making
          investment decision

        


         

          
            

          

        

        Signature

        


        


        Agreed
          to
          and accepted:

         

        
          
            	
                    By:

                  	
                    BLS
                      Media, Inc.,

                  
	 	
                    a
                      Nevada corporation

                  
	 	 
	 	 
	
                    By:

                  	
                    ___________________________

                  
	 	
                    Brittany
                      Prager

                  
	
                    Its:

                  	
                    President

                  


          

        

         

         

        


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