Exhibit 4.2 SUBSCRIPTION FORM For Shares of Common Stock of FIRST IPSWICH BANCORP TO: The First National Bank of [STICKER] Ipswich, as Subscription Agent 31 Market Street Ipswich, Ma 01938 Subscription Rights Subscriber is eligible to subscribe for the number of shares shown on the sticker attached to this form above pursuant to the Basic Subscription Right (the "Basic Shares") and ________ shares pursuant to the Oversubscription Privilege. The undersigned hereby subscribes for the following shares of Common Stock of First Ipswich Bancorp upon the terms specified in the Prospectus for the Subscription Rights. 1. BASIC SUBSCRIPTION RIGHTS (Subject to a limitation of number of Basic Shares shown above) Shares Subscription Subscribed Price Payment _________________ x $____________ = $__________ 2. OVERSUBSCRIPTION PRIVILEGE - MUST HAVE SUBSCRIBED FOR ALL BASIC SHARES (Subject to a limitation of ________ shares) Shares Subscription Subscribed Price Payment _________________ x $____________ = $__________ TOTAL PAYMENT ENCLOSED $__________ (Total, payable to First Ipswich Bancorp, must accompany Subscription Form) The undersigned understands that this subscription shall be irrevocable. Dated: , 2004 _________________________________ Subscriber's Signature Subscriber's Telephone Number ________________________ FULL INSTRUCTION FOR THE USE OF THIS FORM APPEAR ON THE FOLLOWING PAGES. INSTRUCTIONS If you wish to exercise your Subscription Rights, use these instructions. General. The total number of Subscription Rights to which you are entitled is printed on the front of your Subscription form. One Subscription Right and the Subscription Price are required for each share you subscribe for under the Subscription Privilege. The Subscription Rights cannot be Transferred. To exercise your Subscription Rights, fill in your Subscription Rights, fill in your Subscription Form and sign on the line marked Subscriber's signature. The number of shares for which you may subscribe under the Basic Subscription Right is equal to the number of Basic Subscription Rights set forth on the face of the Subscription Form. Enter the number of shares you wish to subscribe to under the Basic Subscription Right (up to the number of Basic Subscription Rights you have) and calculate the amount of the subscription payment for the Basic Subscription Right by multiplying the Subscription Price of $_____ per share by the number of shares subscribed for. Note: You may choose to subscribe to fewer than your maximum number of shares under the Basic Subscription Right. If you have subscribed for the full number of Basic Subscription Rights, you may exercise the Oversubscription Privilege. The number of shares for which you may subscribe under the Oversubscription Privilege is equal to ________. Enter the number of shares you wish to subscribe to under the Oversubscription Privilege (up to _______) and calculate the shares by multiplying the subscription price for the Oversubscription Shares of $_____ per share by the number of Oversubscription shares subscribed for. Note: You may choose to subscribe to fewer than _______ shares. Add the subscription price of the Basic Shares and the Oversubscription Shares together and enter for "Total Payment Enclosed." Payment. Full payment of the Subscription Price for all Common Stock subscribed for under the Subscription Rights must accompany the Subscription Form and may be made by check or money order, payable in U.S. dollars to the order of First Ipswich Bancorp. Subscription Forms received for subscription without any payment will be returned. The total payment must be enclosed. The signature of the subscriber and date must appear on the Subscription Form. If the Subscription Form is signed and executed by an attorney, executor, administrator, guardian or other fiduciary, or by an officer of a corporation, and the Subscription Rights are not issued in such manner, the person so executing must give his full title in such capacity, and proper evidence of authority to act in such capacity must be furnished. Transmittal. Please send your Subscription Form, in the return envelope provided, to the Subscription Agent, The First National Bank of Ipswich, 31 Market Street, Ipswich, Massachusetts 01938. If you return it in person, do so at the Subscription Agent's main office at 31 Market Street, Ipswich, Massachusetts. Be sure your completed Subscription Form and payment reaches the Subscription Agent before 5:00 p.m. on _________, 2004. It is recommended that shareholders wishing to make returns by mail use registered mail.