EXHIBIT 4.2
ADVANTAGE MARKETING SYSTEMS, INC.
1998 DISTRIBUTOR STOCK PURCHASE PLAN
STOCK PURCHASE AGREEMENT
PURCHASER INFORMATION Social Security or Employer Identification Number
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NAME_______________ ________________________________________ __________
LAST FIRST M.I.
ADDRESS________________________________________________________________________
STREET (REQUIRED FOR UPS DELIVERY) SUITE/XXX.XX.
P.O. BOX_______________________________________________________________________
CITY/STATE/ZIP _______________________________________________________________
BUSINESS PHONE #_____________/_____________
RESIDENCE PHONE #_____________/_____________
SPOUSE SOCIAL SECURITY #____________________
As a Distributor of Advantage Marketing Systems, Inc. ("AMS"), you are entitled
to participate in the Advantage Marketing Systems, Inc.1998 Distributor Stock
Purchase Plan (the "Plan") and through the Plan purchase AMS common stock
initially via a monthly bank draft from your checking account. Accompanying are
the Prospectus, which describes the terms of the Plan, a copy of the Plan, which
sets forth in full the terms and conditions of the Plan. Questions related to
the Plan should be addressed to the Company by contacting AMS at 0-000-000-0000
or by mail at the address set forth below.
YOUR SIGNATURE BELOW INDICATES THAT YOU HAVE ELECTED TO BECOME A PARTICIPANT IN
THE PLAN IN ACCORDANCE WITH THE TERMS AND PROVISIONS THEREOF.
DATE X
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I hereby authorize AMS to charge/draft my checking account from the financial
institution listed below in the amount I have indicated below per month and to
make correcting debits to the account as may be required.
THIS AUTHORIZATION IS TO REMAIN IN EFFECT UNTIL AMS RECEIVES WRITTEN
NOTIFICATION FROM ME REVOKING OR AMENDING THE AUTHORIZATION.
BANK DRAFT AMOUNT $
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Enclosed with this agreement is:
Amount equal to monthly amount above $
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Annual service fee $ 5.00
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TOTAL AMOUNT ENCLOSED $
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NAME OF BANK
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CITY STATE ZIP
-------------------------- --------- ------------
___ Checking ACCT.
___ Savings NO.___________________
ATTACH VOID CHECK FOR
ACCOUNT TO BE DRAFTED
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MAIL TO: ADVANTAGE MARKETING SYSTEMS, INC.
0000 X.X. XXXXXXXXXX, XXXXX 0000X
XXXXXXXX XXXX, XXXXXXXX 00000
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