EXCHANGE AGREEMENT
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THIS Exchange Agreement is made this 10th day of September, 1996 by and between:

U.S. MEDICAL SERVICES, INC.
A Nevada Corporation
1350 East Flamingo, Ste. 342
Las Vegas, Nev.
                                        (hereinafter "USMS")

and

FORTUNE 21, INC.                        (Hereinafter "FORTUNE 21")
1200 w. State Road 434
Ste. 112
Longwood, Fla.  32750


         WHEREAS, USMS desires to enter the financial and business education and
services business,  by exchanging (the "EXCHANGE") new common shares in USMS, in
exchange for all the issued  shares in FORTUNE 21, INC. In  accordance  with the
terms and conditions of this Agreement.
         AND  WHEREAS,  FORTUNE 21 is involved  in the  financial  and  business
education and services business, and the shareholders in FORTUNE 21, INC. desire
to invest in USMS and desire the said EXCHANGE in accordance  with the terms and
conditions of this Agreement.
         AND  WHEREAS,  USMS and  FORTUNE 21,  INC.,  desire to  facilitate  the
EXCHANGE provided for herein.









         NOW THEREFORE,  in consideration of the mutual promises,  covenants and
agreements of the parties contained herein, the parties, intending to be legally
bound hereby, agree as follows:
         1.       EXCHANGE  OF  SHARES.  USMS shall  deliver  to the  FORTUNE 21
                  shareholders,   six  million   twenty  five  thousand   shares
                  (6,025,000)  common shares of USMS ("USMS SHARES") in EXCHANGE
                  for six million twenty five thousand shares (6,025,000) common
                  shares of FORTUNE 21, INC. ("FORTUNE 21 SHARES") as at closing
                  date as  outlined in Section 2. This  exchange  shall be a tax
                  free exchange  pursuant to Section 368 of the Internal Revenue
                  Code.
         2.       CLOSING DATE. This transaction shall be closed pursuant to the
                  terms and  conditions  herein on the date of execution of this
                  Agreement at Orlando,  Florida.  The date of execution of this
                  transaction is herein called the "Closing  Date".  The actions
                  outlined in Section 3, which are to take place within ten (10)
                  days of the closing date are as follows.
         3.       CLOSING.  At  closing,  the parties  shall take the  following
                  actions:  

                  3.1      Transfer of Shares. Upon receipt of FORTUNE 21 SHARES
                           by USMS, USMS will effect the delivery to the FORTUNE
                           21 shareholders  the USMS SHARES,  as outlined herein
                           in Section  3.2,  along  with an updated  shareholder
                           list which is certified  by the transfer  agent to be
                           true and correct.
                  3.2      Transfer Agent  Instructions.  USMS will instruct its
                           Transfer   Agent  to  issue  the  said   USMS   share
                           certificates,  with restrictive  legend,  in exchange
                           for the  FORTUNE  21 SHARES  received  in the name of
                           each  individual  FORTUNE  21  shareholder  or  their
                           assigns or nominees pursuant to this Agreement.







                  3.3      Delivery  of  Books.  USMS  will  deliver  all of the
                           original  corporate  books and records of USMS to the
                           corporate offices of FORTUNE 21 immediately following
                           the closing of this  Agreement  and the filing of the
                           15c2-11  with the  NASD.  USMS  shall  assist  in the
                           preparation and filing of the 15c2-11.
                  3.4      Delivery  of Legal  Opinion.  USMS  will  deliver  an
                           opinion  of  its  legal  counsel  certifying  to  the
                           accuracy of the  affirmations set forth herein and an
                           opinion  as  to  the  free   trade   ability  of  all
                           outstanding stock held by the current shareholders of
                           USMS.
         4.       SECURITIES  ACT OF 1933.  USMS  covenants  and  agrees  to the
                  FORTUNE  21  shareholders,  who  understand  that  the  SHARES
                  acquired   pursuant  to  this   Agreement  do  require  to  be
                  restricted under Section 144 of the Securities Act of 1933 and
                  may not be sold or otherwise  transferred unless in compliance
                  with the provisions thereof.
         5.       CONDITIONS  OF BOTH  PARTIES  OBLIGATIONS  TO  CLOSE.  For the
                  purposes of paragraph 5 through 13 only of this Agreement: (i)
                  the following  shall be the  conditions of USMS and FORTUNE 21
                  ("BOTH   PARTIES")   obligations  to  close   hereunder:   
                  5.1      Representations   and  Warranties  of  Both  Parties.
                           Representations  and Warranties  made by BOTH PARTIES
                           to this Agreement shall be true and correct as of the
                           Closing Date.
                  5.2      No Default - Covenants and  Agreements.  BOTH PARTIES
                           shall not be in material  default with respect to any
                           obligation  under this  Agreement and both shall have
                           performed or complied with all covenants, agreements,
                           and conditions to be performed or complied with prior
                           to, or at, the Closing.






         6.       REPRESENTATIONS  AND WARRANTIES OF USMS.  USMS  represents and
                  warrants to AUTOMOTIVE  ONE that the  statements  contained in
                  Section  6.1  through  6.6 are true and correct on the date of
                  this Agreement.  
                  6.1      Corporate  Standing.   USMS  is  a  corporation  duly
                           organized,  validly  existing,  and in good  standing
                           under the laws of  Nevada,  and it has full power and
                           authority to enter into this  Agreement  and to carry
                           out  the  transactions   contemplated   hereby.   The
                           execution and delivery of this Agreement by USMS does
                           not,  and  the   consummation  of  the   transactions
                           contemplated  hereby  will not violate or result in a
                           breach of any provisions of USMS's Charter of Bylaws.
                  6.2      Capital Stock.  The authorized  capital stock of USMS
                           consists of twenty five million  (25,000,000)  shares
                           of Common Stock without par value of which amount one
                           million nine hundred  three  thousand two hundred and
                           three  (1,903,203)  shares of Common  Stock have been
                           validly  issued and are  outstanding,  fully paid and
                           nonassessable  as of the date of this Agreement.  The
                           outstanding shares are held by more than four hundred
                           (400) shareholders and are freely tradeable under the
                           governing security laws.
                  6.3      Authority. USMS has full power and authority to enter
                           into this  Agreement and has taken all action or will
                           use its best  efforts to take all  action,  corporate
                           and otherwise,  necessary to authorize the execution,
                           delivery  and  performance  of  this  Agreement,  the
                           completion of the transactions contemplated hereby.








                  6.4      Lawsuits  and  Proceedings.  There  are  no  material
                           actions at law or in equity, governmental proceedings
                           or  investigations  pending  or to the  knowledge  of
                           USMS,  and  USMS  is not  in  material  default  with
                           respect to any decree, injunction or the order of any
                           court or government authority.
                  6.5      Taxes.  USMS knows of no  outstanding  claims against
                           USMS for taxes which  constitute a lien on the shares
                           being  sold  hereunder.  USMS has filed all  required
                           Federal and State tax returns, and has paid any taxes
                           due thereon.
                  6.6      Adverse Circumstances. Except as disclosed herein, to
                           the best  knowledge  of  USMS,  there  are no  facts,
                           developments    or    circumstances,    existing   or
                           threatened,  of a special or unusual  nature that may
                           be  materially  adverse  to  the  assets,   business,
                           financial condition or future prospects of USMS.
                  6.7      Publicly Held Company.  USMS  represents that it is a
                           publicly  held  company  and has filed any  documents
                           necessary to maintain such status with the regulatory
                           authorities.
         7.       REPRESENTATIONS AND WARRANTIES OF FORTUNE 21
                  FORTUNE 21 represents and warrants to USMS that the statements
                  contained  in Sections 7.1 through 7.6 are true and correct on
                  the date of this Agreement.
                  7.1      Corporate Standing.  FORTUNE 21 is a corporation duly
                           organized,  validly  existing,  and in good  standing
                           under the laws of Florida,  and it has full power and
                           authority to enter into this  Agreement  and to carry
                           out  the  transactions   contemplated   hereby.   The
                           execution  and delivery of this  Agreement by FORTUNE
                           21 does not, and the consummation of the transactions






                           contemplated  hereby will not, violate or result in a
                           breach of any  provisions  of FORTUNE 21's Charter or
                           Bylaws.
                  7.2      Capital  Stock.  The  authorized   capital  stock  of
                           FORTUNE 21 of twenty five million (25,000,000) shares
                           of  Common  Stock  without  par  value of  which  six
                           million  twenty five thousand  (6,025,000)  shares of
                           Common  Stock  have  been  validly   issued  and  are
                           outstanding,  fully paid and  nonassessable as of the
                           date of this Agreement.
                  7.3      Authority. FORTUNE 21 has full power and authority to
                           enter into this Agreement and has taken all action or
                           will  use  its  best  efforts  to  take  all  action,
                           corporate and  otherwise,  necessary to authorize the
                           execution,   delivery   and   performance   of   this
                           Agreement,   the   completion  of  the   transactions
                           contemplated hereby.
                  7.4      Lawsuits and Proceedings.  Except as disclosed herein
                           there are no  material  actions  at law or in equity,
                           government  proceedings or investigations  pending or
                           to the  knowledge  of FORTUNE 21  threatened  against
                           FORTUNE 21 or against or with respect to the business
                           or assets of  FORTUNE  21,  and  FORTUNE 21 is not in
                           material   default   with   respect  to  any  decree,
                           injunction  or the order of any  court or  government
                           authority.
                  7.5      Taxes.  FORTUNE  21  knows of no  outstanding  claims
                           against FORTUNE 21 for taxes which  constitute a lien
                           on the shares being sold hereunder.
                  7.6      Adverse Circumstances. Except as disclosed herein, to
                           the best knowledge of FORTUNE 21, there are no facts,
                           






                           developments    or    circumstances,    existing   or
                           threatened,  of a special or unusual  nature that may
                           be  materially  adverse  to  the  assets,   business,
                           financial  condition  or future  prospects of FORTUNE
                           21.
         8.       INDEMNIFICATION.   USMS  and  FORTUNE  21  mutually  agree  to
                  indemnify  and to hld the other  harmless from and against all
                  material damages,  losses,  costs,  liabilities,  expenses and
                  deficiencies, including, without limitation, additional taxes,
                  and  reasonable  interest,  attorney,  accountant  and  expert
                  witness fees and expenses  (collectively  "Material  Damages")
                  that result from or arise out of any misrepresentation, breach
                  of warranty,  or nonfulfillment of any agreement,  covenant or
                  obligation  of the other  under  this  Agreement.  Each  party
                  agrees to give the other prompt written notice of any event or
                  assertion of which it has  knowledge  concerning  any Material
                  Damages  to which it may  request  indemnification  hereunder.
                  Each party will cooperate  with the other in  determining  the
                  validity  of any such  claim or  assertion.  The  indemnifying
                  party  hereunder  shall have the right to defend with  counsel
                  reasonably  satisfactory to the  indemnified  party any claims
                  Material Damages for which the indemnified party has requested
                  indemnification   hereunder,   and  after   notice   from  the
                  indemnifying  party  regarding  its  assumption of the defense
                  thereof,  the  indemnifying  party  shall not be liable to the
                  indemnified party for any legal or other expenses subsequently
                  incurred by the reasonable costs of investigation.  Each party
                  agrees not to settle or  compromise  any  claims for  Material
                  Damages  without the prior written  consent of the other.  The
                  obligation  of each party to  indemnify  the other  under this
                  section,  shall  terminate on the  anniversary  of the Closing
                  Date,  except as to  matters  to which  such  party had made a
                  claim  for  indemnification  or  given  written  notice  of  a
                  possible claim for indemnification on or prior to such date.






         9.       BROKERAGE FEES. No broker,  finder or intermediary is entitled
                  to receive any brokerage or similar type of  commission,  fee,
                  or payment arising out of this transaction.
         10.      TERMINATION OF AGREEMENT.  This Agreement and the transactions
                  contemplated  hereby may be terminated by either party to this
                  Agreement  without  liability  of any kind to the other  party
                  hereto by  written  instrument,  signed  by  either  party and
                  delivered at any time on or prior to the Closing Date,  giving
                  notice of  termination,  if:  
                  (a)      There  has  been  a  material   misrepresentation  or
                           material  breach  of  warranty  on the part of either
                           party in the representations and warranties set forth
                           herein,  or either party shall have failed to perform
                           or  comply  with,  in  any  material   respect,   any
                           covenant,  agreement  or condition to be performed or
                           complied with prior to, or at the closing.
                  (b)      In  the  reasonable  judgment  of  either  party  the
                           transactions  contemplated  by  this  Agreement  have
                           become  inadvisable or  impracticable  by reasons of:
                           (i) the  announcement  or the institution by federal,
                           state or local authorities of any investigation of or
                           litigation or proceedings  against either party which
                           may have a  material  and  adverse  effect  on either
                           party, or the transactions  contemplated  hereby;  or
                           (ii)  the   commencement   since  the  date  of  this
                           Agreement by any other person,  corporation or entity
                           of litigation or proceedings  against or in regard to
                           either  party,  which may have a material and adverse
                           effect upon the authority or ability of either party,
                           which may have a material and adverse effect upon the
                          






                           authority  or ability of either  party to  consummate
                           the transactions contemplated hereby.
         11.      AFFECT  AFTER  TERMINATION.  In the event that this  Agreement
                  shall be terminated in accordance  with the provisions of this
                  Agreement,  then all further  obligations of each party to the
                  other under this Agreement  shall  terminate  without  further
                  liability.

         12.      EXPENSES.  All  legal,  accounting  and  other  costs and fees
                  incurred by BOTH PARTIES,  in connection with the transactions
                  contemplated  by this Agreement shall be borne and paid for by
                  the party incurring the same.
         13.      MISCELLANEOUS PROVISIONS.
                  13.1     Survival   of    Representations,    Warranties   and
                           Covenants.     The    respective     representations,
                           warranties,  covenants  and  agreements  made in this
                           Agreement by BOTH PARTIES shall survive Closing for a
                           period of one (1) year.
                  13.2     Assignment.   This   Agreement  and  all  rights  and
                           obligations   hereunder   may  be  assigned  by  BOTH
                           PARTIES, in whole or in part, without prior knowledge
                           and/or written consent of the other party.
                  13.3     Notices.  Any notice,  request,  instruction or other
                           document or communication required or permitted to be
                           delivered  in  person  or by  deposit  in  the  mail,
                           postage   prepaid,   for  mailing  by   certified  or
                           registered mail, will be made as follows:

U.S. Medical Services, Inc.
1350 East Flamingo, Ste. 342
Las Vegas, Nev.  89119

If to the FORTUNE 21 shareholders, delivered and mailed to:






FORTUNE 21, INC.
1200 W. S.R. 434, Ste. 112
Longwood, Fla.  32750

                  13.4     Section  Headings.   Section  headings  are  for  the
                           convenience  only and shall  not  limit or  otherwise
                           affect any provisions of this Agreement.
                  13.5     Entire  Agreement.  This  Agreement  and any Exhibits
                           hereto,   constitute   the   entire   agreement   and
                           understanding  of the parties  hereto with respect to
                           the   matters   herein  set  forth,   and  all  prior
                           negotiations,  writings and understandings related to
                           the  subject  matter  of this  Agreement  are  merged
                           herein  and  are  superseded  and  canceled  by  this
                           Agreement.
                  13.6     Waivers - Amendments.  Any of the terms or conditions
                           of this Agreement may be waived,  but only in writing
                           by  the  party  which  is  entitled  to  the  benefit
                           thereof,   and  this  Agreement  may  be  amended  or
                           modified,  in whole or in part,  only by agreement in
                           writing, executed by all parties to this Agreement.
                  13.7     Governing Law. This Agreement  shall be construed and
                           enforced  in  accordance  with the  laws of  Florida,
                           without regard to conflict of law.
                  13.8     Counterparts.  This  Agreement may be executed in two
                           or more counter parts,  each of which shall be deemed
                           original  as well as by  facsimile,  but all of which
                           together   shall   constitute   one  and   the   same
                           instrument.


         This Agreement is hereby  executed on the date first mentioned above in
Orlando, FL.

U.S. MEDICAL SERVICES, INC.                                   FORTUNE 21, INC.
/s/ Ian Knott                                                 /s/ James S. Byrd
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By: IAN KNOTT                                                 By: JAMES S. BYRD
Its: PRESIDENT                                                Its: PRESIDENT