Document:

IPTIMIZE,
      INC.

    

    Private
      Placement of Common Stock

    

    (2003
      Offering)

    

    SUBSCRIPTION
      AGREEMENT AND

    CONFIDENTIAL
      INVESTOR QUESTIONNAIRE

    

    THIS
      SUBSCRIPTION AGREEMENT is entered into as of this _____ day of _____________________,
      between IPtimize,
      Inc.,
      a
      Colorado corporation with its principal offices at 4949 S. Syracuse St., Suite
      450, Denver, Colorado 80237; phone: 303-268-3600 (the “Company”), and the
      undersigned (the “Subscriber”).

    

    WHEREAS,
      the Company seeks an investment of up to $500,000 in exchange for up to
      3,000,000 shares (“ownership interests” or the “Shares”) of the Company’s Common
      Stock (collectively the “Offering”) on the terms and conditions hereinafter set
      forth. Such Offering is comprised of two parts: (i) up to $100,000 in
      Convertible Bridge Notes, convertible into up to 500,000 Common Stock Shares
      and
      an additional up to 500,000 Warrants at $0.01; and (ii) the Common Stock
      Offering of up to $400,000, offering up to 2,000,000 at $0.20 per
      Share.

    

    WHEREAS,
      the Subscriber desires to participate in the Offering, on the terms set forth
      herein;

    

    NOW,
      THEREFORE, for and in consideration of the premises and the mutual covenants
      hereinafter set forth, the parties hereto do hereby agree as
      follows:

    

    
      	 	
              I.

            	
              SUBSCRIPTION
                FOR SHARES AND REPRESENTATIONS BY AND COVENANTS OF
                SUBSCRIBER

            

    

    

    1.1 Subject
      to the terms and conditions hereof, the Subscriber hereby subscribes for and
      agrees to purchase from the Company _____________ Shares as defined above at
      $0.20
      per Share
      for a
      total purchase price of $______________ (the “Purchase Price”) payable in
      currency of the United States payable to IPtimize,
      Inc.
      or by
      wire transfer of funds.

    

    1.2
       The
      Subscriber recognizes that the purchase of Shares involves a high degree of
      risk
      in that (i) the Company is in the development stage, has not completed
      development of all of its proposed service products and may require further
      investment funds in addition to the proceeds of this private placement; (ii)
      an
      investment in the Company is highly speculative, and only investors who can
      afford the loss of their entire investment should consider investing in the
      Company and the Shares; (iii) investors may not be able to liquidate their
      investment; (iv) transferability of the Shares is extremely limited; and (v)
      in
      the event of a disposition of Shares, an investor could sustain the loss of
      his
      entire investment, as well as other risk factors.

    

    
      
        
        

      

      
        1

        
          

        

      

      
        
        

      

    

    1.3 The
      Subscriber represents that he or she is an “accredited investor” as such term is
      defined in Rule 501 of Regulation D promulgated under the United States
      Securities Act of 1933, as amended (the “Act”), as indicated by the Subscriber’s
      responses to the Confidential Investor Questionnaire contained in Article VI
      hereof, and that the Subscriber is able to bear the economic risk of an
      investment in the Shares.

    

    1.4 The
      Subscriber acknowledges that Subscriber either: (i) has a preexisting personal
      or business relationship with the Company or with one or more of its officers,
      directors or controlling persons; or (ii) by reason of the Subscriber’s business
      or financial experience, including investment in non-listed and non-registered
      securities, or the business or financial experience of the Subscriber’s
      professional advisors who are unaffiliated with and who are not compensated
      by
      the Company or any affiliate or selling agent of the Company, directly or
      indirectly - could reasonably be assumed to have the capacity to protect the
      Subscriber’s own interests in connection with an investment in the Shares. The
      Subscriber further acknowledges that he or she has the capacity to evaluate
      the
      merits and risks of such an investment and that the Subscriber recognizes the
      highly speculative nature of this investment.

    

    1.5 The
      Subscriber acknowledges receipt and careful review of the documents provided
      herewith (the “Offering Documents” attached as Exhibit A) and hereby represents
      that the Subscriber has been furnished by the Company during the course of
      this
      transaction with all information regarding the Company which the Subscriber
      had
      requested or desired to know; that all documents which could be reasonably
      provided, including the Company’s internal business plans, operating
      projections, have been made available for the Subscriber’s inspection and
      review; that such information and documents have, in Subscriber’s opinion,
      afforded the Subscriber generally with the same substantive information that
      would be provided to the Subscriber in a registration statement filed under
      the
      Act; that the Subscriber has been afforded the opportunity to ask questions
      of
      and receive answers from duly authorized officers or other representatives
      of
      the Company concerning the terms and conditions of the Offering and the Offering
      Documents; and that Subscriber has been provided any additional information
      which the Subscriber had requested.

    

    1.6 The
      Subscriber acknowledges that this Offering may involve tax consequences, and
      that the contents of the Offering Documents do not contain tax advice or
      information. The Subscriber acknowledges that the Subscriber must retain the
      Subscriber’s own professional advisors to evaluate the tax and other
      consequences of an investment in the Shares.

    

    1.7 The
      Subscriber acknowledges that this Offering has not been reviewed by the United
      States Securities and Exchange Commission (“SEC”). The Subscriber represents
      that the Shares being purchased by the Subscriber are being purchased for the
      Subscriber’s own account, for investment and not for distribution or resale to
      others. The Subscriber agrees that the Subscriber will not sell or otherwise
      transfer the Shares unless they are registered under the Act or unless an
      exemption from such registration is available.

    

    1.8 The
      Subscriber understands that the Shares have not been registered under the Act
      by
      reason of a claimed exemption under the provisions of the Act which depends,
      in
      part, upon the Subscriber’s investment intention. In that connection, the
      Subscriber understands that it is the position of the SEC that the statutory
      basis for such exemption would not be present if the Subscriber’s representation
      merely meant that the Subscriber’s present intention was to hold such securities
      for a short period, such as the capital gains period of tax statutes, for a
      deferred sale, for a market rise, assuming that a market develops, or for any
      other similarly fixed period. The Subscriber realizes that, in the view of
      the
      SEC, a purchase now with an intent to resell would represent a purchase with
      an
      intent inconsistent with the Subscriber’s representation to the Company, and the
      SEC might regard such a sale or disposition as a sale to which such exemptions
      are not available.

    

    
      
        
        

      

      
        2

        
          

        

      

      
        
        

      

    

    1.9 The
      Subscriber understands that there is no public market for the Shares or the
      underlying Common Stock into which Shares are convertible. The Subscriber
      understands that even if a public market develops for the Common Stock issuable
      upon conversion of the Shares, Rule 144 (the “Rule”) promulgated under the
      Act requires, among other conditions, a one-year holding period prior to the
      resale (in limited amounts) of securities acquired in a non-public offering
      without having to satisfy the registration requirements under the Act. The
      Subscriber understands that the Company makes no representation or warranty
      regarding its fulfillment in the future of any reporting requirements under
      the
      Securities Exchange Act of 1934, as amended, or its dissemination to the public
      of any current financial or other information concerning the Company, as is
      required by the Rule as one of the conditions of its availability. The
      Subscriber understands and hereby acknowledges that the Company is under no
      obligation to register the Shares or the Common Stock issuable upon conversion
      of the Shares under the Act, with the exception of certain limited registration
      rights set forth in Article IV hereof. The Subscriber consents that the Company,
      if it desires, may permit the transfer of the Shares out of the Subscriber’s
      name only when the Subscriber’s request for transfer is accompanied by an
      opinion of counsel reasonably satisfactory to the Company that neither the
      sale
      nor the proposed transfer results in a violation of the Act or any applicable
      state “blue sky” laws (collectively “Securities Laws”) and subject to the
      provisions of Section 1.10 hereof. The Subscriber agrees to hold the Company
      and
      its directors, officers and controlling persons and their respective heirs,
      representatives, successors and assigns harmless and to indemnify them against
      all liabilities, costs and expenses incurred by them as a result of any
      misrepresentation made by the Subscriber contained herein or in the Confidential
      Investor Questionnaire contained in Article VI hereof or any sale or
      distribution by the undersigned Subscriber in violation of any Securities
      Laws.

    

    1.10 The
      Subscriber consents to the placement of a legend on any certificate or other
      document evidencing the Shares stating that they have not been registered under
      the Act and setting forth or referring to the restrictions on transferability
      and sale thereof.

    

    1.11 The
      Subscriber understands that the Company will review this Subscription Agreement
      and the Confidential Investor Questionnaire contained herein and hereby is
      given
      authority by the undersigned, if an individual, to call his or her bank or
      place
      of employment or otherwise review the financial standing of the Subscriber
      insofar as is relevant to the Subscriber’s representations herein; and it is
      further agreed that the Company reserves the unrestricted right to reject or
      limit any subscription and to close any offer of Shares at any time. The
      Subscriber further understands that the Company reserves the right to
      oversubscribe the Offering at its sole discretion.

    

    
      
        
        

      

      
        3

        
          

        

      

      
        
        

      

    

    1.12 The
      Subscriber hereby represents that the address of Subscriber furnished by the
      Subscriber at the end of this Subscription Agreement is the undersigned's
      principal residence, if the Subscriber is an individual, or its principal
      business address, if the Subscriber is a corporation or other
      entity.

    

    1.13 The
      Subscriber hereby represents and warrants that, except as set forth in the
      Offering Documents, no representations or warranties have been made to the
      Subscriber by the Company or any agent, employee, representative or affiliate
      of
      the Company and that, in entering into this transaction and subscribing for
      Shares, the Subscriber is not relying on any information, other than that
      contained in the Offering Documents and the results of Subscriber’s independent
      investigation.

    

    1.14 The
      Subscriber acknowledges that at such time, if ever, as the Shares are
      registered, sales of such securities will be subject to Securities Laws, which
      may require, among other requirements, any securities to be sold through a
      registered broker-dealer or in reliance upon an exemption from registration.
      In
      the event such Common Stock is registered in the event of an initial public
      offering, the Subscriber will be granted “piggy back” registration rights,
      subject to the approval of the Underwriter. 

    

    1.15 The
      Subscriber acknowledges that the Company, at its discretion, may elect to engage
      the services of one or more broker/dealers registered with the National
      Association of Securities Dealers (“NASD”) and may pay such broker/dealers up to
      ten percent (10%) of the gross proceeds of the Offering in commissions.

    

    1.16 The
      Subscriber acknowledges that the officers and directors of the Company may
      participate in this Offering and may purchase some or all of the Minimum or
      Maximum Offering.

     

    
      	
            	II.	
              TERMS
                OF SUBSCRIPTION

            

    

    

    2.1 The
      Subscriber hereby authorizes and directs the Company to deliver the securities
      to be issued to such Subscriber pursuant to this Subscription Agreement to
      the
      residential or business address indicated in the Confidential Investor
      Questionnaire included herein.

    

    2.2 The
      Subscriber hereby authorizes and directs the Company to return any funds for
      unaccepted subscriptions to the same account from which the funds were drawn,
      including any customer account maintained with the Placement Agent.

    

       2.3 If
      the
      Subscriber is not a United States person, such Subscriber hereby represents
      that
      he, she or it has satisfied itself as to the full observance of the laws of
      its
      jurisdiction in connection with any invitation to subscribe for the Shares
      or
      any use of this Agreement, including (i) the legal requirements within its
      jurisdiction for the purchase of the Shares, (ii) any foreign exchange
      restrictions applicable to such purchase, (iii) any governmental or other
      consents that may need to be obtained, and (iv) the income tax and other tax
      consequences, if any, that may be relevant to the purchase, holding, redemption,
      sale or transfer of the Shares. The Subscriber represents and warrants that
      the
      Subscriber's subscription and payment for, and the Subscriber’s continued
      beneficial ownership of the Shares, will not violate any applicable securities
      or other laws of the Subscriber's jurisdiction.

    

    
      
        
        

      

      
        4

        
          

        

      

      
        
        

      

    

    

    
      	
            	III.	
              MISCELLANEOUS

            

    

    

    3.1 Any
      notice or other communication given hereunder shall be deemed sufficient if
      in
      writing and sent by registered or certified mail, return receipt requested.
      Notices sent to the Company shall be addressed to the Company’s office at
4949
      S. Syracuse St., Suite 450, Denver, Colorado 80237,
      or fax
      at (303)
      268-3639.
      Notices
      sent to the Subscriber shall be addressed to the Subscriber’s address indicated
      on the last page of this Subscription Agreement. Notices shall be deemed to
      have
      been given on the date of mailing, except notices of change of address, which
      shall be deemed to have been given when received.

    

    3.2 This
      Subscription Agreement shall not be changed, modified or amended except by
      a
      writing signed by the parties to be charged, and this Subscription Agreement
      may
      not be discharged except by performance in accordance with its terms or by
      a
      writing signed by the party to be charged.

    

    3.3 This
      Subscription Agreement shall be binding upon and inure to the benefit of the
      parties hereto and to their respective heirs, legal representatives, successors
      and assigns. This Subscription Agreement sets forth the entire agreement and
      understanding between the parties as to the subject matter hereof and merges
      and
      supersedes all prior discussions, agreements and understandings of any and
      every
      nature among them.

    

    3.4 Notwithstanding
      the place where this Subscription Agreement may be executed by any of the
      parties hereto, the parties expressly agree that all the terms and provisions
      hereof shall be construed in accordance with and governed by the laws of the
      State of Colorado.

    

    3.5 Each
      of
      the Company and the Subscriber agree that any action or proceeding based hereon,
      or arising out of the Memorandum hereunder, shall be brought and maintained
      exclusively in the courts of the State of Colorado located in the County of
      Arapahoe or in the United States District Court for the District of Colorado.
      The Company and the Subscriber each hereby irrevocably submit to the
      jurisdiction of the courts of the State of Colorado located in the County of
      Arapahoe and of the United States District Court for the District of Colorado
      for the purpose of any such action or proceeding as set forth above and
      irrevocably agree to be bound by any judgment rendered thereby in connection
      with such action or proceeding. Each of the Company and the Subscriber hereby
      irrevocably waive, to the fullest extent permitted by law, any objection which
      either may have, or at any time hereafter may have, to the laying of venue
      of
      any such action or proceeding brought in any such court referred to above and
      any claim that any such action or proceeding has been brought in an inconvenient
      forum.

    

    
      
        
        

      

      
        5

        
          

        

      

      
        
        

      

    

    3.6 This
      Subscription Agreement may be executed in counterparts and may be executed
      by
      facsimile. Upon the execution and delivery of this Subscription Agreement by
      the
      Subscriber, this Subscription Agreement shall become a binding obligation of
      the
      Subscriber with respect to the purchase of Shares as herein provided; subject,
      however, to the right hereby reserved to the Company to enter into the same
      agreements with other subscribers and to add and/or to delete other persons
      as
      subscribers.

    

    3.7 The
      holding of any provision of this Subscription Agreement to be invalid or
      unenforceable by a court of competent jurisdiction shall not affect any other
      provision of this Subscription Agreement, which shall remain in full force
      and
      effect.

    

    3.8 It
      is
      agreed that a waiver by either party of a breach of any provision of this
      Subscription Agreement shall not operate, or be construed, as a waiver of any
      subsequent breach by that same party.

    

    3.9 The
      parties to this Subscription Agreement agree to execute and deliver all such
      further documents, agreements and instruments and take such other and further
      action as may be necessary or appropriate to carry out more fully the purposes
      and intent of this Subscription Agreement.

    

    3.10 The
      Company agrees not to disclose the names, addresses or any other information
      about the Subscriber, except as required by law, provided that the Company
      may
      use information relating to the Subscriber in any registration statement under
      the Act.

    

    (REMAINDER
      OF THIS PAGE INTENTIONALLY LEFT BLANK)

    

    
      
        
        

      

      
        6

        
          

        

      

      
        
        

      

    

    
      	
            	IV.	
              CONFIDENTIAL
                INVESTOR QUESTIONNAIRE

            

    

    

    4.1 Subscriber
      Categories.
      The
      Subscriber represents and warrants that he, she or it comes within one category
      marked below, and that for any category marked, he, she or it has truthfully
      set
      forth, where applicable, the factual basis or reason the Subscriber comes within
      that category. ALL INFORMATION IN RESPONSE TO THIS SECTION WILL BE KEPT STRICTLY
      CONFIDENTIAL. The undersigned agrees to furnish any additional information
      which
      the Company deems necessary in order to verify the answers set forth
      below.

    

    
      	
              Category
                A _____

            	
              The
                undersigned is an individual (not a
                partnership, corporation, etc.) whose individual net worth, or joint
                net
                worth with his or her spouse, presently exceeds
                $1,000,000.

            
	 	 
	 	
              Explanation: In
                calculating net worth you may include equity in personal property
                and real
                estate, including your principal residence, cash, short-term investments,
                stock and securities. Equity in personal property and real estate
                should
                be based on the fair market value of such property less debt secured
                by
                such property.

            
	 	 
	
              Category
                B _____

            	
              The
                undersigned is an individual (not a
                partnership, corporation, etc.) who had an income in excess of $200,000
                in
                each of the two most recent years, or joint income with his or her
                spouse
                in excess of $300,000 in each of those years (in each case including
                foreign income, tax exempt income and full amount of capital gains
                and
                losses but excluding any income of other family members and any unrealized
                capital appreciation) and has a reasonable expectation of reaching
                the
                same income level in the current year.

            
	 	 
	
              Category
                C _____

            	
              The
                undersigned is a director or executive
                officer of the Company which is issuing and selling the
                Shares.

            
	 	 
	
              Category
                D _____

            	
              The
                undersigned is a bank; a savings and loan
                association; insurance company; registered investment company; registered
                business development company; licensed small business investment
                company
                (“SBIC”); or employee benefit plan within the meaning of Title I of ERISA
                and (a) the investment decision is made by a plan fiduciary which
                is
                either a bank, savings and loan association, insurance company or
                registered investment advisor, or (b) the plan has total assets in excess
                of $5,000,000 or is a self directed plan with investment decisions
                made
                solely by persons that are accredited investors.

            
	 	
              _____________________________________

              _____________________________________

              (describe
                entity)

            

    

     

    
      
        
        

      

      
        7

        
          

        

      

      
        
        

      

    

     

    
      	 	 
	
              Category
                E _____

            	
              The
                undersigned is a private business
                development company as defined in section 202(a)(22) of the Investment
                Advisors Act of 1940.

            
	 	
              _____________________________________

              _____________________________________

              (describe
                entity)

            
	 	 
	
              Category
                F _____

            	
              The
                undersigned is either a corporation,
                partnership, Massachusetts business trust, or non-profit organization
                within the meaning of Section 501(c)(3) of the Internal Revenue Code,
                in
                each case not formed for the specific purpose of acquiring the Shares
                and
                with total assets in excess of $5,000,000.

            
	 	
              _____________________________________

              _____________________________________

              (describe
                entity)

            
	 	 
	
              Category
                G _____

            	
              The
                undersigned is a trust with total assets in
                excess of $5,000,000, not formed for the specific purpose of acquiring
                the
                Shares, where the purchase is directed by a "sophisticated person"
                as
                defined in Regulation 506(b)(2)(ii).

            
	 	 
	
              Category
                H _____

            	
              The
                undersigned is an entity (other than a
                trust) all the equity owners of which are "accredited investors"
                within
                one or more of the above categories. If relying upon this Category
                alone,
                each equity owner must complete a separate copy of this
                Agreement.

            
	 	
              _____________________________________

              _____________________________________

              (describe
                entity)

            
	 	 
	
              Category
                I _____

            	
              The
                undersigned is not within any of the
                categories above and is therefore not an accredited
                investor.

            

    

    
      

      The
        undersigned covenants and agrees that the undersigned will notify the Company
        at
        any time on or prior to the Company’s acceptance of this subscription in the
        event that the representations and warranties in this Agreement shall cease
        to
        be true, accurate and complete.

    

     

    
      	
            	4.2	
              Suitability.
                (Please answer each question)

            

    

    

    
      	 	
              (a)

            	
              For
                an individual
                Subscriber, please describe your current employment, including the
                company
                by which you are employed and its principal
                business:

            

    

    ____________________________________________________

    ____________________________________________________

    ____________________________________________________

     

    
      
        
        

      

      
        8

        
          

        

      

      
        
        

      

    

    

    
      	 	
              (b)
                

            	
              For
                an individual
                Subscriber, please describe any college or graduate degrees held
                by
                you:

            

    

    ____________________________________________________

    ____________________________________________________

    ____________________________________________________

    

    
      	
            	(c)	
              For
                all
                Subscribers, please check types of prior
                investments:

            

    

     

    
      	 	U.S. Government Securities 	____	 	Private Placements 	____
	 	Publicly Traded Corporate 	____	 	 Mutual
              Funds          
              	____
	 	Real Estate Investments 	____	 	
              Other
                (describe)      

            	____

    

     

    
      	 	
              (d)

            	
              For
                all
                Subscribers, please state whether you have participated in other
                private
                placements before:

            

    

    

    YES_____
        NO_____

    

    
      	 	
              (e)

            	
              For
                all
                Subscribers, please indicate frequency of such prior participation
                in
                private placements:

            

    

     

    
      	 	
              Public
                Companies

            	
              Private
                Companies

            	
              Companies

            
	
              Frequently

            	
              _____

            	
              _____

            	
              _____

            
	
              Occasionally

            	
              _____

            	
              _____

            	
              _____

            
	
              Never

            	
              _____

            	
              _____

            	
              _____

            

    

     

    
      	
            	4.3	
              Manner
                In Which Title to be Held.
                (Circle one)

            

    

    

    
      	 	
              (a)

            	
              Individual
                Ownership

            

    

    
      	
            	(b)	
              Community
                Property

            

    

    
      	
            	(c)	
              Joint
                Tenant with Right of Survivorship (both parties must
                sign)

            

    

    
      	
            	(d)	
              Partnership*

            

    

    
      	
            	(e)	
              Tenants
                in Common

            

    

    
      
        
          	
                	(f)	
                  Company*

                

        

      

    

    
      	
            	
              (g)

            	
              Trust*

            

    

    
      	
            	(h)	
              Other

            

    

    

    *If
      Shares are being subscribed for by an entity, the attached Certificate of
      Signatory must also be completed.

    

    
      	
            	4.4	
              NASD
                Affiliation:

            

    

     

    Are
      you
      associated with an NASD member firm? (Please check one)

     

    YES_____
       NO_____

    

    
      
        
        

      

      
        9

        
          

        

      

      
        
        

      

    

    

    If
      Yes,
      please describe: 

     

    
      	 	
              (1)

            	
              The
                NASD defines a “person associated with a member” or “associated person of
                a member” as being every sole proprietor, general or limited partner,
                officer, director or branch manager of any member, or any natural
                person
                occupying a similar status or performing similar functions, or any
                natural
                person engaged in the investment banking or securities business who
                is
                directly or indirectly controlling or controlled by such member (for
                example, any employee), whether or not any such person is registered
                or
                exempt from registration with the NASD. Thus, “person associated with a
                member” or “associated person of a member” includes a sole proprietor,
                general or limited partner, officer, director or branch manager of
                an
                organization of any kind (whether a corporation, partnership or other
                business entity) which itself is either a “member” or a “Person associated
                with a member” or “associated person of a member.” In addition, an
                organization of any kind is a “person associated with a member” or
                “associated person of a member” if its sole proprietor or any one of its
                general or limited partners, officers, directors or branch managers
                is a
                “member,” “person associated with a member” or “associated person of a
                member.”

            

    

    

    
      	 	
              (2)

            	
              The
                NASD defines a “member” as being any individual, partnership, corporation
                or other legal entity that is a broker or dealer admitted to membership
                in
                the NASD.

            

    

    

    *If
      Subscriber is a Registered Representative with an NASD member firm, have the
      following acknowledgment signed by the appropriate party:

    

    The
      undersigned NASD member firm acknowledges receipt of the notice required by
      Rule
      3050 of the NASD Conduct Rules or any successor rules or
      regulations.

    

    _______________________________________________

    Name
      of
      NASD Member Firm

    

    By: __________________________________

    Authorized
      Officer

     

    Date: _____________________

    

    4.5
      Reliance.
      The
      undersigned is informed of the significance to the Company of the foregoing
      representations and answers contained in the Confidential Investor Questionnaire
      contained in this Article V and such answers have been provided under the
      assumption that the Company will rely on them.

    

    

    
      
        
        

      

      
        10

        
          

        

      

      
        
        

      

    

    IPTIMIZE,
      INC.

    

    Private
      Placement of Common Stock Shares

    

    (2003
      Offering)

    

    INVESTOR
      INFORMATION PAGE

    

    

    NUMBER
      OF
      SHARES ________________
      x $0.20 = $________________

    

     

    
      	 	 	 
	Name (both
              if purchasing jointly)	 	Business or Entity Name
	 	 	 
	Home Address	 	Business Address
	 	 	 
	Home City, State and Zip Code	 	Business City, State and Zip
              Code
	 	 	 
	Home Telephone	 	Business Telephone
	 	 	 
	Home Telephone-Other	 	Business Telephone-Other
	 	 	 
	Home Facsimile	 	Business Facsimile
	 	 	 
	Home E-Mail	 	Business E-Mail
	 	 	 
	Tax ID# or Social Security #	 	Employer ID# or License #
	 	 	 
	Other	 	Other

    

     

     

    Name
      in
      which securities should be issued:
      ____________________________________

    

    
      
        
        

      

      
        11

        
          

        

      

      
        
        

      

    

    

    IPTIMIZE,
      INC.

    SUBSCRIPTION
      AGREEMENT

    

    Private
      Placement of Common Stock Shares

    

    (2003
      Offering)

    

    

    INVESTOR
      SIGNATURE PAGE

    

    

    IN
      WITNESS WHEREOF, the parties have executed this Subscription Agreement
as
      of the
      day and year first written above.

    

    NUMBER
      OF
      SHARES _________________
      x $0.20 =    $________________

    

    

    
      	 	 	 	 
	Signature	 	Signature (if purchasing jointly)	 
	 	 	 	 
	 	 	 	 
	Name Typed or Printed	 	Name Typed or Printed	 

    

    
 

    Name
      in
      which securities should be issued:
      ____________________________________

    

    

    This
      Subscription Agreement is agreed to and accepted as of
      ________________________

    

    

    

    IPTIMIZE,
      INC.

    
 

    
      	 	 	 	 
	
              John R. Evans

              Chairman and Chief Executive Officer

            	 	
              Jeffrey A. Veres

              President and Chief Operating Officer

            	 

    

     

     

    
      
        
        

      

      
        12IPTIMIZE,
      INC.

    

    Private
      Placement of Common Stock

    

    (Offering
      Dated 2004)

    

    SUBSCRIPTION
      AGREEMENT AND

    CONFIDENTIAL
      INVESTOR QUESTIONNAIRE

    

    THIS
      SUBSCRIPTION AGREEMENT is entered into as of this _____ day of __________________
      2004, between IPtimize,
      Inc.,
      a
      Colorado corporation with its principal offices at 4949 S. Syracuse St., Suite
      450, Denver, Colorado 80237; phone: 303-268-3600 (the “Company”), and the
      undersigned (the “Subscriber”).

     

    WHEREAS,
      the Subscriber desires to participate in the Offering, on the terms set forth
      herein;

    

    NOW,
      THEREFORE, for and in consideration of the premises and the mutual covenants
      hereinafter set forth, the parties hereto do hereby agree as
      follows:

    

    
      	 	
              I.

            	
              SUBSCRIPTION
                FOR SHARES AND REPRESENTATIONS BY AND COVENANTS OF
                SUBSCRIBER

            

    

    

    1.1 Subject
      to the terms and conditions hereof, the Subscriber hereby subscribes for and
      agrees to purchase from the Company _____________ Shares as defined above at
      $0.20
      per Share
      for a
      total purchase price of $______________ (the “Purchase Price”) payable in
      currency of the United States payable to IPtimize,
      Inc.
      or by
      wire transfer of funds.

    

    1.2
       The
      Subscriber recognizes that the purchase of Shares involves a high degree of
      risk
      in that (i) the Company is in the development stage, has not completed
      development of all of its proposed service products and may require further
      investment funds in addition to the proceeds of this private placement; (ii)
      an
      investment in the Company is highly speculative, and only investors who can
      afford the loss of their entire investment should consider investing in the
      Company and the Shares; (iii) investors may not be able to liquidate their
      investment; (iv) transferability of the Shares is extremely limited; and (v)
      in
      the event of a disposition of Shares, an investor could sustain the loss of
      his
      entire investment, as well as other risk factors.

    

    1.3 The
      Subscriber represents that he or she is an “accredited investor” as such term is
      defined in Rule 501 of Regulation D promulgated under the United States
      Securities Act of 1933, as amended (the “Act”), as indicated by the Subscriber’s
      responses to the Confidential Investor Questionnaire contained in Article VI
      hereof, and that the Subscriber is able to bear the economic risk of an
      investment in the Shares.

    

    
      
        
        

      

      
        1

        
          

        

      

      
        
        

      

    

    1.4 The
      Subscriber acknowledges that Subscriber either: (i) has a preexisting personal
      or business relationship with the Company or with one or more of its officers,
      directors or controlling persons; or (ii) by reason of the Subscriber’s business
      or financial experience, including investment in non-listed and non-registered
      securities, or the business or financial experience of the Subscriber’s
      professional advisors who are unaffiliated with and who are not compensated
      by
      the Company or any affiliate or selling agent of the Company, directly or
      indirectly - could reasonably be assumed to have the capacity to protect the
      Subscriber’s own interests in connection with an investment in the Shares. The
      Subscriber further acknowledges that he or she has the capacity to evaluate
      the
      merits and risks of such an investment and that the Subscriber recognizes the
      highly speculative nature of this investment.

    

    1.5 The
      Subscriber acknowledges receipt and careful review of the documents provided
      herewith (the “Offering Documents” attached as Exhibit A) and hereby represents
      that the Subscriber has been furnished by the Company during the course of
      this
      transaction with all information regarding the Company which the Subscriber
      had
      requested or desired to know; that all documents which could be reasonably
      provided, including the Company’s internal business plans, operating
      projections, have been made available for the Subscriber’s inspection and
      review; that such information and documents have, in Subscriber’s opinion,
      afforded the Subscriber generally with the same substantive information that
      would be provided to the Subscriber in a registration statement filed under
      the
      Act; that the Subscriber has been afforded the opportunity to ask questions
      of
      and receive answers from duly authorized officers or other representatives
      of
      the Company concerning the terms and conditions of the Offering and the Offering
      Documents; and that Subscriber has been provided any additional information
      which the Subscriber had requested.

    

    1.6 The
      Subscriber acknowledges that this Offering may involve tax consequences, and
      that the contents of the Offering Documents do not contain tax advice or
      information. The Subscriber acknowledges that the Subscriber must retain the
      Subscriber’s own professional advisors to evaluate the tax and other
      consequences of an investment in the Shares.

    

    1.7 The
      Subscriber acknowledges that this Offering has not been reviewed by the United
      States Securities and Exchange Commission (“SEC”). The Subscriber represents
      that the Shares being purchased by the Subscriber are being purchased for the
      Subscriber’s own account, for investment and not for distribution or resale to
      others. The Subscriber agrees that the Subscriber will not sell or otherwise
      transfer the Shares unless they are registered under the Act or unless an
      exemption from such registration is available.

    

    1.8 The
      Subscriber understands that the Shares have not been registered under the Act
      by
      reason of a claimed exemption under the provisions of the Act which depends,
      in
      part, upon the Subscriber’s investment intention. In that connection, the
      Subscriber understands that it is the position of the SEC that the statutory
      basis for such exemption would not be present if the Subscriber’s representation
      merely meant that the Subscriber’s present intention was to hold such securities
      for a short period, such as the capital gains period of tax statutes, for a
      deferred sale, for a market rise, assuming that a market develops, or for any
      other similarly fixed period. The Subscriber realizes that, in the view of
      the
      SEC, a purchase now with an intent to resell would represent a purchase with
      an
      intent inconsistent with the Subscriber’s representation to the Company, and the
      SEC might regard such a sale or disposition as a sale to which such exemptions
      are not available.

    

    
      
        
        

      

      
        2

        
          

        

      

      
        
        

      

    

    1.9 The
      Subscriber understands that there is no public market for the Shares or the
      underlying Common Stock into which Shares are convertible. The Subscriber
      understands that even if a public market develops for the Common Stock issuable
      upon conversion of the Shares, Rule 144 (the “Rule”) promulgated under the
      Act requires, among other conditions, a one-year holding period prior to the
      resale (in limited amounts) of securities acquired in a non-public offering
      without having to satisfy the registration requirements under the Act. The
      Subscriber understands that the Company makes no representation or warranty
      regarding its fulfillment in the future of any reporting requirements under
      the
      Securities Exchange Act of 1934, as amended, or its dissemination to the public
      of any current financial or other information concerning the Company, as is
      required by the Rule as one of the conditions of its availability. The
      Subscriber understands and hereby acknowledges that the Company is under no
      obligation to register the Shares or the Common Stock issuable upon conversion
      of the Shares under the Act, with the exception of certain limited registration
      rights set forth in Article IV hereof. The Subscriber consents that the Company,
      if it desires, may permit the transfer of the Shares out of the Subscriber’s
      name only when the Subscriber’s request for transfer is accompanied by an
      opinion of counsel reasonably satisfactory to the Company that neither the
      sale
      nor the proposed transfer results in a violation of the Act or any applicable
      state “blue sky” laws (collectively “Securities Laws”) and subject to the
      provisions of Section 1.10 hereof. The Subscriber agrees to hold the Company
      and
      its directors, officers and controlling persons and their respective heirs,
      representatives, successors and assigns harmless and to indemnify them against
      all liabilities, costs and expenses incurred by them as a result of any
      misrepresentation made by the Subscriber contained herein or in the Confidential
      Investor Questionnaire contained in Article VI hereof or any sale or
      distribution by the undersigned Subscriber in violation of any Securities
      Laws.

    

    1.10 The
      Subscriber consents to the placement of a legend on any certificate or other
      document evidencing the Shares stating that they have not been registered under
      the Act and setting forth or referring to the restrictions on transferability
      and sale thereof.

    

    1.11 The
      Subscriber understands that the Company will review this Subscription Agreement
      and the Confidential Investor Questionnaire contained herein and hereby is
      given
      authority by the undersigned, if an individual, to call his or her bank or
      place
      of employment or otherwise review the financial standing of the Subscriber
      insofar as is relevant to the Subscriber’s representations herein; and it is
      further agreed that the Company reserves the unrestricted right to reject or
      limit any subscription and to close any offer of Shares at any time. The
      Subscriber further understands that the Company reserves the right to
      oversubscribe the Offering at its sole discretion.

    

    1.12 The
      Subscriber hereby represents that the address of Subscriber furnished by the
      Subscriber at the end of this Subscription Agreement is the undersigned's
      principal residence, if the Subscriber is an individual, or its principal
      business address, if the Subscriber is a corporation or other
      entity.

    

    
      
        
        

      

      
        3

        
          

        

      

      
        
        

      

    

    1.13 The
      Subscriber hereby represents and warrants that, except as set forth in the
      Offering Documents, no representations or warranties have been made to the
      Subscriber by the Company or any agent, employee, representative or affiliate
      of
      the Company and that, in entering into this transaction and subscribing for
      Shares, the Subscriber is not relying on any information, other than that
      contained in the Offering Documents and the results of Subscriber’s independent
      investigation.

    

    1.14 The
      Subscriber acknowledges that at such time, if ever, as the Shares are
      registered, sales of such securities will be subject to Securities Laws, which
      may require, among other requirements, any securities to be sold through a
      registered broker-dealer or in reliance upon an exemption from registration.
      In
      the event such Common Stock is registered in the event of an initial public
      offering, the Subscriber will be granted “piggy back” registration rights,
      subject to the approval of the Underwriter. 

    

    1.15 The
      Subscriber acknowledges that the Company, at its discretion, may elect to engage
      the services of one or more broker/dealers registered with the National
      Association of Securities Dealers (“NASD”) and may pay such broker/dealers up to
      ten percent (10%) of the gross proceeds of the Offering in commissions.

    

    1.16 The
      Subscriber acknowledges that the officers and directors of the Company may
      participate in this Offering and may purchase some or all of the Minimum or
      Maximum Offering.

     

    
      	
            	II.	
              TERMS
                OF SUBSCRIPTION

            

    

    

    2.1 The
      Subscriber hereby authorizes and directs the Company to deliver the securities
      to be issued to such Subscriber pursuant to this Subscription Agreement to
      the
      residential or business address indicated in the Confidential Investor
      Questionnaire included herein.

    

    2.2 The
      Subscriber hereby authorizes and directs the Company to return any funds for
      unaccepted subscriptions to the same account from which the funds were drawn,
      including any customer account maintained with the Placement Agent.

    

       2.3 If
      the
      Subscriber is not a United States person, such Subscriber hereby represents
      that
      he, she or it has satisfied itself as to the full observance of the laws of
      its
      jurisdiction in connection with any invitation to subscribe for the Shares
      or
      any use of this Agreement, including (i) the legal requirements within its
      jurisdiction for the purchase of the Shares, (ii) any foreign exchange
      restrictions applicable to such purchase, (iii) any governmental or other
      consents that may need to be obtained, and (iv) the income tax and other tax
      consequences, if any, that may be relevant to the purchase, holding, redemption,
      sale or transfer of the Shares. The Subscriber represents and warrants that
      the
      Subscriber's subscription and payment for, and the Subscriber’s continued
      beneficial ownership of the Shares, will not violate any applicable securities
      or other laws of the Subscriber's jurisdiction.

    

    
      
        
        

      

      
        4

        
          

        

      

      
        
        

      

    

    

    
      	
            	III.	
              MISCELLANEOUS

            

    

    

    3.1 Any
      notice or other communication given hereunder shall be deemed sufficient if
      in
      writing and sent by registered or certified mail, return receipt requested.
      Notices sent to the Company shall be addressed to the Company’s office at
4949
      S. Syracuse St., Suite 450, Denver, Colorado 80237,
      or fax
      at (303)
      268-3639.
      Notices
      sent to the Subscriber shall be addressed to the Subscriber’s address indicated
      on the last page of this Subscription Agreement. Notices shall be deemed to
      have
      been given on the date of mailing, except notices of change of address, which
      shall be deemed to have been given when received.

    

    3.2 This
      Subscription Agreement shall not be changed, modified or amended except by
      a
      writing signed by the parties to be charged, and this Subscription Agreement
      may
      not be discharged except by performance in accordance with its terms or by
      a
      writing signed by the party to be charged.

    

    3.3 This
      Subscription Agreement shall be binding upon and inure to the benefit of the
      parties hereto and to their respective heirs, legal representatives, successors
      and assigns. This Subscription Agreement sets forth the entire agreement and
      understanding between the parties as to the subject matter hereof and merges
      and
      supersedes all prior discussions, agreements and understandings of any and
      every
      nature among them.

    

    3.4 Notwithstanding
      the place where this Subscription Agreement may be executed by any of the
      parties hereto, the parties expressly agree that all the terms and provisions
      hereof shall be construed in accordance with and governed by the laws of the
      State of Colorado.

    

    3.5 Each
      of
      the Company and the Subscriber agree that any action or proceeding based hereon,
      or arising out of the Memorandum hereunder, shall be brought and maintained
      exclusively in the courts of the State of Colorado located in the County of
      Arapahoe or in the United States District Court for the District of Colorado.
      The Company and the Subscriber each hereby irrevocably submit to the
      jurisdiction of the courts of the State of Colorado located in the County of
      Arapahoe and of the United States District Court for the District of Colorado
      for the purpose of any such action or proceeding as set forth above and
      irrevocably agree to be bound by any judgment rendered thereby in connection
      with such action or proceeding. Each of the Company and the Subscriber hereby
      irrevocably waive, to the fullest extent permitted by law, any objection which
      either may have, or at any time hereafter may have, to the laying of venue
      of
      any such action or proceeding brought in any such court referred to above and
      any claim that any such action or proceeding has been brought in an inconvenient
      forum.

    

    3.6 This
      Subscription Agreement may be executed in counterparts and may be executed
      by
      facsimile. Upon the execution and delivery of this Subscription Agreement by
      the
      Subscriber, this Subscription Agreement shall become a binding obligation of
      the
      Subscriber with respect to the purchase of Shares as herein provided; subject,
      however, to the right hereby reserved to the Company to enter into the same
      agreements with other subscribers and to add and/or to delete other persons
      as
      subscribers.

    

    
      
        
        

      

      
        5

        
          

        

      

      
        
        

      

    

    3.7 The
      holding of any provision of this Subscription Agreement to be invalid or
      unenforceable by a court of competent jurisdiction shall not affect any other
      provision of this Subscription Agreement, which shall remain in full force
      and
      effect.

    

    3.8 It
      is
      agreed that a waiver by either party of a breach of any provision of this
      Subscription Agreement shall not operate, or be construed, as a waiver of any
      subsequent breach by that same party.

    

    3.9 The
      parties to this Subscription Agreement agree to execute and deliver all such
      further documents, agreements and instruments and take such other and further
      action as may be necessary or appropriate to carry out more fully the purposes
      and intent of this Subscription Agreement.

    

    3.10 The
      Company agrees not to disclose the names, addresses or any other information
      about the Subscriber, except as required by law, provided that the Company
      may
      use information relating to the Subscriber in any registration statement under
      the Act.

    

    (REMAINDER
      OF THIS PAGE INTENTIONALLY LEFT BLANK)

    

    
      
        
        

      

      
        6

        
          

        

      

      
        
        

      

    

    
      	
            	IV.	
              CONFIDENTIAL
                INVESTOR QUESTIONNAIRE

            

    

    

    4.1 Subscriber
      Categories.
      The
      Subscriber represents and warrants that he, she or it comes within one category
      marked below, and that for any category marked, he, she or it has truthfully
      set
      forth, where applicable, the factual basis or reason the Subscriber comes within
      that category. ALL INFORMATION IN RESPONSE TO THIS SECTION WILL BE KEPT STRICTLY
      CONFIDENTIAL. The undersigned agrees to furnish any additional information
      which
      the Company deems necessary in order to verify the answers set forth
      below.

     

    
      
        	
                Category
                  A _____

              	
                The
                  undersigned is an individual (not a
                  partnership, corporation, etc.) whose individual net worth, or
                  joint net
                  worth with his or her spouse, presently exceeds
                  $1,000,000.

              
	 	 
	 	
                Explanation: In
                  calculating net worth you may include equity in personal property
                  and real
                  estate, including your principal residence, cash, short-term investments,
                  stock and securities. Equity in personal property and real estate
                  should
                  be based on the fair market value of such property less debt secured
                  by
                  such property.

              
	 	 
	
                Category
                  B _____

              	
                The
                  undersigned is an individual (not a
                  partnership, corporation, etc.) who had an income in excess of
                  $200,000 in
                  each of the two most recent years, or joint income with his or
                  her spouse
                  in excess of $300,000 in each of those years (in each case including
                  foreign income, tax exempt income and full amount of capital gains
                  and
                  losses but excluding any income of other family members and any
                  unrealized
                  capital appreciation) and has a reasonable expectation of reaching
                  the
                  same income level in the current year.

              
	 	 
	
                Category
                  C _____

              	
                The
                  undersigned is a director or executive
                  officer of the Company which is issuing and selling the
                  Shares.

              
	 	 
	
                Category
                  D _____

              	
                The
                  undersigned is a bank; a savings and loan
                  association; insurance company; registered investment company;
                  registered
                  business development company; licensed small business investment
                  company
                  (“SBIC”); or employee benefit plan within the meaning of Title I of ERISA
                  and (a) the investment decision is made by a plan fiduciary which
                  is
                  either a bank, savings and loan association, insurance company
                  or
                  registered investment advisor, or (b) the plan has total assets
                  in excess
                  of $5,000,000 or is a self directed plan with investment decisions
                  made
                  solely by persons that are accredited investors.

              
	 	
                _____________________________________

                _____________________________________

                (describe
                  entity)

              

      

       

      
        
          
          

        

        
          7

          
            

          

        

        
          
          

        

      

       

      
        	 	 
	
                Category
                  E _____

              	
                The
                  undersigned is a private business
                  development company as defined in section 202(a)(22) of the Investment
                  Advisors Act of 1940.

              
	 	
                _____________________________________

                _____________________________________

                (describe
                  entity)

              
	 	 
	
                Category
                  F _____

              	
                The
                  undersigned is either a corporation,
                  partnership, Massachusetts business trust, or non-profit organization
                  within the meaning of Section 501(c)(3) of the Internal Revenue
                  Code, in
                  each case not formed for the specific purpose of acquiring the
                  Shares and
                  with total assets in excess of $5,000,000.

              
	 	
                _____________________________________

                _____________________________________

                (describe
                  entity)

              
	 	 
	
                Category
                  G _____

              	
                The
                  undersigned is a trust with total assets in
                  excess of $5,000,000, not formed for the specific purpose of acquiring
                  the
                  Shares, where the purchase is directed by a "sophisticated person"
                  as
                  defined in Regulation 506(b)(2)(ii).

              
	 	 
	
                Category
                  H _____

              	
                The
                  undersigned is an entity (other than a
                  trust) all the equity owners of which are "accredited investors"
                  within
                  one or more of the above categories. If relying upon this Category
                  alone,
                  each equity owner must complete a separate copy of this
                  Agreement.

              
	 	
                _____________________________________

                _____________________________________

                (describe
                  entity)

              
	 	 
	
                Category
                  I _____

              	
                The
                  undersigned is not within any of the
                  categories above and is therefore not an accredited
                  investor.

              

      

      
        

        The
          undersigned covenants and agrees that the undersigned will notify the Company
          at
          any time on or prior to the Company’s acceptance of this subscription in the
          event that the representations and warranties in this Agreement shall cease
          to
          be true, accurate and complete.

      

       

      
        	
              	4.2	
                Suitability.
                  (Please answer each question)

              

      

      

      
        	 	
                (a)

              	
                For
                  an individual
                  Subscriber, please describe your current employment, including
                  the company
                  by which you are employed and its principal
                  business:

              

      

      ____________________________________________________

      ____________________________________________________

      ____________________________________________________

       

      
        
          
          

        

        
          8

          
            

          

        

        
          
          

        

      

      

      
        	 	
                (b)
                  

              	
                For
                  an individual
                  Subscriber, please describe any college or graduate degrees held
                  by
                  you:

              

      

      ____________________________________________________

      ____________________________________________________

      ____________________________________________________

      

      
        	
              	(c)	
                For
                  all
                  Subscribers, please check types of prior
                  investments:

              

      

       

      
        	U.S. Government Securities ____ 	 	Private
                Placements ____
	Publicly Traded Corporate   ____ 	 	Mutual
                Funds         ____
	Real Estate
                Investments       ____ 	 	Other
                (describe)      ____

      

       

      
        	 	
                (d)

              	
                For
                  all
                  Subscribers, please state whether you have participated in other
                  private
                  placements before:

              

      

      

      YES_____
          NO_____

      

      
        	 	
                (e)

              	
                For
                  all
                  Subscribers, please indicate frequency of such prior participation
                  in
                  private placements:

              

      

       

      
        	Public Companies  	Private Companies 	Companies
	Frequently     
                _____	_____	_____
	Occasionally 
                _____	_____	_____
	Never  _____	_____	_____

      

      

      
        	
              	4.3	
                Manner
                  In Which Title to be Held.
                  (Circle one)

              

      

      

      
        	 	
                (a)

              	
                Individual
                  Ownership

              

      

      
        	
              	(b)	
                Community
                  Property

              

      

      
        	
              	(c)	
                Joint
                  Tenant with Right of Survivorship (both parties must
                  sign)

              

      

      
        	
              	(d)	
                Partnership*

              

      

      
        	
              	(e)	
                Tenants
                  in Common

              

      

      
        
          
            	
                  	(f)	
                    Company*

                  

          

        

      

      
        	
              	
                (g)

              	
                Trust*

              

      

      
        	
              	(h)	
                Other

              

      

      

      *If
        Shares are being subscribed for by an entity, the attached Certificate of
        Signatory must also be completed.

      

      
        	
              	4.4	
                NASD
                  Affiliation:

              

      

       

      Are
        you
        associated with an NASD member firm? (Please check one)

       

      YES_____
         NO_____

      

      
        
          
          

        

        
          9

          
            

          

        

        
          
          

        

      

      

      If
        Yes,
        please describe:  

       

      
        	 	
                (1)

              	
                The
                  NASD defines a “person associated with a member” or “associated person of
                  a member” as being every sole proprietor, general or limited partner,
                  officer, director or branch manager of any member, or any natural
                  person
                  occupying a similar status or performing similar functions, or
                  any natural
                  person engaged in the investment banking or securities business
                  who is
                  directly or indirectly controlling or controlled by such member
                  (for
                  example, any employee), whether or not any such person is registered
                  or
                  exempt from registration with the NASD. Thus, “person associated with a
                  member” or “associated person of a member” includes a sole proprietor,
                  general or limited partner, officer, director or branch manager
                  of an
                  organization of any kind (whether a corporation, partnership or
                  other
                  business entity) which itself is either a “member” or a “Person associated
                  with a member” or “associated person of a member.” In addition, an
                  organization of any kind is a “person associated with a member” or
                  “associated person of a member” if its sole proprietor or any one of its
                  general or limited partners, officers, directors or branch managers
                  is a
                  “member,” “person associated with a member” or “associated person of a
                  member.”

              

      

      

      
        	 	
                (2)

              	
                The
                  NASD defines a “member” as being any individual, partnership, corporation
                  or other legal entity that is a broker or dealer admitted to membership
                  in
                  the NASD.

              

      

      

      *If
        Subscriber is a Registered Representative with an NASD member firm, have
        the
        following acknowledgment signed by the appropriate party:

      

      The
        undersigned NASD member firm acknowledges receipt of the notice required
        by Rule
        3050 of the NASD Conduct Rules or any successor rules or
        regulations.

      

      _______________________________________________

      Name
        of
        NASD Member Firm

      

      By: __________________________________

      Authorized
        Officer

       

      Date: _____________________

      

      4.5
        Reliance.
        The
        undersigned is informed of the significance to the Company of the foregoing
        representations and answers contained in the Confidential Investor Questionnaire
        contained in this Article V and such answers have been provided under the
        assumption that the Company will rely on them.

      

      

      
        
          
          

        

        
          10

          
            

          

        

        
          
          

      

    

    IPTIMIZE,
      INC.

    

    Private
      Placement of Common Stock Shares

    

    (Offering
      Dated 2004)

    

    INVESTOR
      INFORMATION PAGE

    

    

    NUMBER
      OF
      SHARES ________________
      x $0.20
      = $________________

    

     

    
      
        	 	 	 
	Name (both
                if purchasing jointly)	 	Business or Entity Name
	 	 	 
	Home Address	 	Business Address
	 	 	 
	Home City, State and Zip Code	 	Business City, State and Zip
                Code
	 	 	 
	Home Telephone	 	Business Telephone
	 	 	 
	Home Telephone-Other	 	Business Telephone-Other
	 	 	 
	Home Facsimile	 	Business Facsimile
	 	 	 
	Home E-Mail	 	Business E-Mail
	 	 	 
	Tax ID# or Social Security #	 	Employer ID# or License #
	 	 	 
	Other	 	Other

      

       

       

      Name
        in
        which securities should be issued:
        ____________________________________

      

      
        
          
          

        

        
          11

          
            

          

        

        
          
          

      

    

    

    IPTIMIZE,
      INC.

    SUBSCRIPTION
      AGREEMENT

    

    Private
      Placement of Common Stock Shares

    

    (Offering
      Dated 2004)

    

    

    INVESTOR
      SIGNATURE PAGE

    

    

    IN
      WITNESS WHEREOF, the parties have executed this Subscription Agreement
as
      of the
      day and year first written above.

    

    NUMBER
      OF
      SHARES _________________
      x $0.20
      = $________________

    
 

    
      

      
        	 	 	 	 
	Signature	 	Signature (if purchasing jointly)	 
	 	 	 	 
	 	 	 	 
	Name Typed or Printed	 	Name Typed or Printed	 

      

      
 

      Name
        in
        which securities should be issued:
        ____________________________________

      

      

      This
        Subscription Agreement is agreed to and accepted as of
        ________________________

      

      

      

      IPTIMIZE,
        INC.

      
 

      
        	 	 	 	 
	
                John R. Evans

                Chairman,
                  Chief Executive Officer and President

              	 	
                 

                 

              	 

      

       

       

      
        
          
          

        

        
          12

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