Metris Companies Inc. Renewable Unsecured Subordinated Note Subscription Agreement

Summary

This agreement allows investors to purchase renewable unsecured subordinated notes from Metris Companies Inc. by completing the provided form and submitting payment. Investors can choose the note term, interest payment schedule, and form of ownership. The agreement outlines that the notes are obligations of Metris Companies Inc. only, are not FDIC insured, and may be rejected in whole or in part. Investors must certify their residency, tax information, and understanding of the investment risks. Direct deposit of payments is available by providing bank details.

EX-4.3 6 c72521exv4w3.txt FORM OF SUBSCRIPTION AGREEMENT EXHIBIT 4.3 METRIS COMPANIES INC. [METRIS LOGO] Renewable Unsecured Subordinated Note Subscription Agreement To purchase a renewable unsecured subordinated note(s), please complete this form and send it along with your check and any other documents requested below to the selling agent for the notes, Sumner Harrington Ltd., 11100 Wayzata Boulevard, Suite 170, Minneapolis, MN 55305. Make your check payable to METRIS COMPANIES INC. If you have any questions, please call Sumner Harrington Ltd. at ###-###-####. NOTE PURCHASE AMOUNT (minimum principal amount $1,000 per note)

FORM OF OWNERSHIP (please select one) |_| CUSTODIAN FOR A MINOR |_| INDIVIDUAL INVESTOR (with optional beneficiary) |_| OTHER (please circle one) |_| JOINT TENANTS WITH RIGHT OF SURVIVORSHIP IRA, SEP, 401(k), 403(b), Keogh, Trust, Corporation, Partnership (Please include with this form a trust resolution or the appropriate corporation or partnership documents authorizing you to make this investment.) NOTE PURCHASER (please circle one) Full Name of Individual Investor/First Joint Tenant/Minor/Entity/Administrator/Trustee --------------------------------------------------------------------------------------------------------------------------------- First Name Middle Name Last Name Social Security Number/Tax ID Number ----------------------------------------------------------------------------- Date of Birth (if applicable) Full Name of Beneficiary/Second Joint Tenant/Custodian (please circle one if applicable) --------------------------------------------------------------------------------------------------------------------------------- First Name Middle Name Last Name Social Security Number/Tax ID Number ----------------------------------------------------------------------------- Date of Birth (not required for custodians) Other Metris Note Investors in my Family ---------------------------------------------------------------------------------------- PRIMARY ADDRESS (Original correspondence will be sent to this address.) --------------------------------------------------------------------------------- Individual Investor, IRA Administrator, Trustee, Custodian, Partnership, etc. --------------------------------------------------------------------------------- Address --------------------------------------------------------------------------------- City State Zip --------------------------------------------------------------------------------- Daytime Phone (Include Area Code) E-mail Address SECONDARY ADDRESS (Optional--copies of correspondence will be sent to this address.) -------------------------------------------------------------------------------------- Beneficiary, IRA Owner, Joint Tenant, Partner, etc. -------------------------------------------------------------------------------------- Address -------------------------------------------------------------------------------------- City State Zip -------------------------------------------------------------------------------------- Daytime Phone (Include Area Code) E-mail Address DIRECT DEPOSIT Metris will electronically deposit your principal and interest payments to either your checking or savings account. Please provide your direct deposit information on the reverse side of this form. PASSWORD When you call Sumner Harrington to discuss your investment, you may be asked to verify your identification by answering the following question. What is your mother's maiden name?_____________________________________________ CERTIFICATION Under penalties of perjury, I hereby declare and certify that: (i) I am a bona fide resident of the state listed in the primary mailing address: (ii) I have received and read the prospectus and all supplements provided by Metris Companies Inc. and understand the risks associated with this investment; (iii) the notes are an obligation of Metris Companies Inc. only and are not bank certificates of deposit and are not guaranteed or insured by the FDIC or any other entity; (iv) the social security number or tax identification number listed above is correct; and (v) I am not subject to backup withholding, either because the Internal Revenue Service has not notified me that I am subject to backup withholding as a result of a failure to report all interest or dividends or I have been notified that I am no longer subject to backup withholding. I understand that my purchase offer is subject to the terms contained in the prospectus and all supplements, may be rejected in whole or in part and will not become effective until accepted by Metris Companies Inc. or its selling agent. ---------------------------------------------------------------------------------------------------------------- Signature of Individual Investor/First Joint Tenant/Custodian/Authorized Person Date ---------------------------------------------------------------------------------------------------------------- Signature of Second Joint Tenant (if applicable) Date THE REVERSE SIDE OF THIS FORM MUST BE COMPLETED. OFFICE USE ONLY ACTP DATE -------------- --------------

METRIS COMPANIES INC. Direct Deposit Form PLEASE CHECK ONE |_| I currently receive direct deposit payments from an existing Metris note. Please deposit all principal and interest payments for this new note into the same account. |_| Please deposit my payments into the account listed below. (If this option is chosen, the account owner must attach a VOIDED check -- or deposit slip if this is a savings account -- to the bottom of this form.) - ------------------------------------------------------------------------------------------------------------------------------------ Account Owner Name(s) |_| Checking |_| Savings |_| Other - ------------------------------------------------------------------------------------------------------------------------------------ Account Number - ------------------------------------------------------------------------------------------------------------------------------------ Bank Routing Number (9 digits) Bank Name Branch Location

DIRECT DEPOSIT AUTHORIZATION As the investor of record and authorized signatory of the account listed above, I hereby authorize Metris Companies Inc., its affiliates, or its agents (collectively hereinafter as "Metris") to deposit interest and principal payments owed to me, by initiating credit entries in the account to my financial institution listed on this form. Further, I authorize my financial institution to accept and to credit any credit entries initiated by Metris to the listed account. In the event of an erroneous credit entry, I also authorize Metris to debit the account for an amount not to exceed the original amount of the erroneous credit. This authorization is to remain in full force and effect until Metris and my financial institution have received written notice from me of its termination in such time and in such manner as to afford Metris and my financial institution reasonable opportunity to act on it. In the event the listed account is closed I will promptly notify Metris of an alternate account into which payments can be made. - -------------------------------------------------------------------------------- Authorized Signature Date MAIL IN THE ENCLOSED POSTAGE-PAID ENVELOPE OR SEND TO: SUMNER HARRINGTON LTD. 11100 Wayzata Blvd., Suite 170 Minneapolis, Minnesota 55305 ATTACH VOIDED CHECK OR SAVINGS ACCOUNT DEPOSIT SLIP HERE.