EXHIBIT 4.4

                    CONVERTIBLE SUBORDINATED PROMISSORY NOTE

$418,024                                                     December     , 1998


          FOR VALUE RECEIVED,  Executive TeleCard,  Ltd., a Delaware corporation
("Maker"), promises to pay to the order of Jeffey Gee ("Payee"), in his capacity
as representative  of and for the benefit of certain  preferred  stockholders of
IDX  International,  Inc.,  a  Virginia  corporation  (the  "Company")  under an
agreement to which a form of this Note is attached (the  "Dividend  Agreement"),
on May 31, 1999 (the  "Maturity  Date"),  the  principal  amount of Four Hundred
Eighteen Thousand Twenty-Four Dollars ($418,024),  together with interest on the
unpaid  principal  balance,  said interest to be due and payable on the Maturity
Date,  at a rate per annum equal to LIBOR plus 250 basis  points,  in the manner
provided below.  "LIBOR" shall mean the offered rates on three-month  Eurodollar
deposits,  which appear on the display  designated as page "LIBO" on the Reuters
Monitor  Money Rates  Service or such other page as may replace the LIBO page on
that service for the purpose of displaying London Interbank  Eurodollar  offered
rates of major banks of the highest  credit rating as determined by Maker in its
commercially  reasonable  discretion.  All payments  hereunder  shall be made in
lawful  money of the  United  States of America  (except  to the extent  paid in
Common Stock of Maker, as provided below).

          This Note is issued  pursuant to and in accordance  with the terms and
conditions  of (i) the Dividend  Agreement  and (ii) the  Agreement  and Plan of
Merger,  dated June 10,  1998,  among Maker,  EXTEL Merger Sub No. 1, Inc.,  the
Company  and the  Stockholders  (as  defined  therein),  which was  subsequently
amended on August 27, 1998  pursuant  to a certain  Consent  and  Extension  and
amended  again on October _, 1998 by Amendment  No. 2 to  Agreement  and Plan of
Merger (the "Merger  Agreement"),  and is subject to the terms and conditions of
the Dividend  Agreement and the Merger Agreement,  which are, by this reference,
incorporated  herein  and  made  a  part  hereof,   including  particularly  the
provisions  regarding  the  authority  of  Payee as the  Representative  and the
allocation  of the  amounts  payable  (or stock  issuable)  hereunder  among the
Stockholders.  Capitalized  terms  used in this  Note  which  are not  otherwise
defined  herein  shall have the  respective  meanings  set forth in the Dividend
Agreement.

          The outstanding  principal amount of this Note, together with interest
accrued  thereon as provided  herein (the  "Maturity  Amount")  shall be due and
payable in full on the  Maturity  Date,  or such earlier date on which this Note
may become due following an Event of Default (as defined below).







          All payments of  principal  and interest on this Note shall be made by
check or wire transfer of immediately available funds to an account specified by
Payee in written instructions to Maker at least three (3) business days prior to
the Maturity  Date.  If any payment of principal or interest on this Note is due
on a day which is not a  Business  Day,  such  payment  shall be due on the next
succeeding  Business Day, and such extension of time shall be taken into account
in calculating  the amount of interest  payable under this Note.  "Business Day"
means any day other than Saturday, Sunday or a legal holiday in the Commonwealth
of Virginia.

          Maker may,  without  premium or penalty,  at any time and from time to
time,  prepay all or any portion of the outstanding  principal balance due under
this Note.

          The occurrence of any one of more the following events with respect to
Maker shall constitute an event of default hereunder ("Event of Default"):

          (a) If Maker  shall fail to pay when due any payment of  principal  or
interest on this Note and such failure  continues  for ten  Business  Days after
Payee notifies Maker in writing of such Event of Default.

          (b) If,  pursuant  to or  within  the  meaning  of the  United  States
Bankruptcy  Code or any other  federal or state law  relating to  insolvency  or
relief of debtors (a  "Bankruptcy  Law"),  Maker shall (i)  commence a voluntary
case or proceeding;  (ii) consent to the entry of an order for relief against it
in an involuntary case; (iii) consent to the appointment of a trustee, receiver,
assignee,  liquidator  or  similar  official;  (iv) make an  assignment  for the
benefit of its creditors;  or (v) admit in writing is inability to pay its debts
as they become due.

          (c) If a court of  competent  jurisdiction  enters  an order or decree
under any  Bankruptcy Law that (i) is for relief against Maker in an involuntary
case,  (ii)  appoints  a  trustee,  receiver,  assignee,  liquidator  or similar
official for Maker or substantially all of Maker's  properties,  or (iii) orders
the liquidation of Maker,  and in each case the order or decree is not dismissed
within 120 days.

          Upon the occurrence of any such Event of Default,  Maker,  in its sole
and absolute option,  may convert (the "Conversion") all or any part of the then
outstanding  principal  and  accrued  but unpaid  interest  under this Note into
shares of its Common Stock, par value $.001 ("Maker Common Stock"),  as provided
below,  which Conversion shall constitute payment in full of the amount being so
converted (the "Converted Amount").  Maker may effect such Conversion by written
notice to Payee  (pursuant to the  applicable  notice  provisions  of the Merger
Agreement), at any time or from time to time until the outstanding principal and
accrued  but  unpaid  interest  under  this Note has been  paid in full,  of the
Maker's  election to effect the  Conversion  and the portion of the  outstanding
principal and accrued but unpaid interest being converted.  Upon receipt of such
notice by Payee,  such Conversion shall be deemed  effective,  and the Converted
Amount shall be deemed






converted  into the right to receive the number of shares of Maker  Common Stock
equal to the  Converted  Amount  divided  by the  Closing  Price (as  defined in
Exhibit A to the Merger Agreement) on the date of the occurrence of the Event of
Default.

          Should an Event of Default  exist and be  continuing  for ten Business
Days  (unless  Maker has paid the then  outstanding  principal  and  accrued but
unpaid interest under this Note or given notice of Conversion as provided herein
of the entire amount then due and payable),  (x) simple interest shall accrue on
the  outstanding  principal  balance of this Note from the date of such Event of
Default  at the rate of LIBOR  plus 400 points  ("Default  Interest")  until the
outstanding  principal and accrued but unpaid  interest under this Note has been
paid (or Maker has given notice of Conversion  as provided  herein of the entire
amount then due and payable), and (y) (in the case of the first Event of Default
to exist  and be  continuing  for such  period)  Maker  shall  issue  Payee,  as
Representative  of the  Stockholders,  a  warrant,  substantially  in  the  form
attached  hereto as Appendix A ("Default  Warrant"),  to purchase such number of
shares of Common Stock as is equal to ten percent (10%) of the then  outstanding
principal  and  accrued  but  unpaid  interest  under  this Note  divided by the
exercise  price of the Default  Warrants,  which shall equal  Closing  Price (as
defined in Exhibit A to the Merger  Agreement) on the date of the  occurrence of
such Event of Default.

          Presentment, demand, protest and all other notices of any kind from or
to be given by Payee are hereby expressly waived.

          Amounts  payable by Maker  (including  Maker  Common Stock and Default
Warrants  that may be  issued)  hereunder  shall be  received  by Payee  for the
benefit of the Stockholders  solely in Payee's capacity as Representative of the
Stockholders,  and shall be allocated among the  Stockholders in accordance with
the relative  Stockholder  Percentages  of the  Stockholders  as provided in the
Merger Agreement, to be distributed to the Stockholders by the Representative in
such proportions following each payment or Conversion hereunder. Maker shall use
all  reasonable   efforts  to  assist  Payee  in  making  such  allocations  and
distributions.  Nothing  herein shall give rise to any  liability on the part of
Payee or Maker for any mistakes  that may occur in making such  allocations  and
distributions so long as Payee or Maker,  respectively,  has acted in good faith
and without willful misconduct or fraud.

          Notwithstanding  anything else to the contrary herein, Maker shall not
effect any Conversion or issue any Default  Warrants to the extent,  but only to
the  extent  (and  notice of  Conversion  shall be deemed  revised to the extent
necessary  to permit  Maker to  comply  with this  sentence),  that  Shareholder
Approval (as defined in Exhibit A to the Merger Agreement) would be required for
such  Conversion  or such  issuance  (taken  together with any issuance of Maker
stock under the Merger  Agreement and documents  referred to therein or required
hereby which would be considered under applicable rules and regulations together
with  such  Conversion  or






such issuance in determining whether Shareholder  Approval is required),  unless
and until such Shareholder Approval has been obtained.

          This Note shall be governed by, and construed in accordance  with, the
laws of the  State of  Virginia,  regardless  of the laws that  might  otherwise
govern under applicable principles of conflicts of law.

          Whenever used herein, the words "Maker" and "Payee" shall be deemed to
include their respective successors and assigns.

                  IN WITNESS  WHEREOF,  the  undersigned  has duly executed this
Note, or has caused this Note to be duly  executed on its behalf,  as of the day
and year first hereinabove set forth.

[SEAL]                                         EXECUTIVE TELECARD, LTD.

                                               By:______________________________
                                               Name:____________________________
                                               Title:___________________________