EX-1.1
from SB-2/A
1 page
Special Acquisitions, Inc. Subscription Agreement for Shares of Common Stock Offering Price $5.00 Per Share the Undersigned, Having Received the Prospectus for Special Acquisitions, Inc., Hereby Offers to Purchase Common Shares at the Offering Price of $5.00 Per Share. the Offer Is Subject to Receipt of Funds and Acceptance by the Company. Subscription Amount: $ I Enclose the Amount Indicated Above as Full Payment for the Common Shares Subscribed to at $5.00 Per Share. Please Make Your Check Payable To: Colorado Business Bank - Escrow Agent Mail To: Special Acquisitions, Inc. Attn: Brian French 1945 South Poplar Street Denver, Co 80224 Subscribers' Name(s) and Social Security Number(s) (Please Print) Street Address City State/Zip Telephone Instructions for Issuing Certificate (Please Mark One Below) 1. Individual 2. Joint Tenancy With Right of Survivorship 3. Tenants in Common 4. Gift to Minor (Name of Minor: 5. Other (Name/Type of Entity) Date: Subscriber's Signature(s) Date: Subscriber's Signature(s) Accepted: Special Acquisitions, Inc. By: Date
12/34/56