Common use of Certificate Delivery Clause in Contracts

Certificate Delivery. I elect to have my shares of Common Stock delivered as follows: _____ Please have the shares delivered electronically via DWAC to my brokerage account. Please use the information below to execute the transaction. Broker DTC number: ____________________________________________ My Account Number: ____________________________________________ _____ Please register the certificate or book-entry notation representing the shares in the name set forth below and send the certificate or evidence of book-entry notation to the following address: Registered Name: _______________________________________________ Address: _______________________________________________ _______________________________________________

Certificate Delivery. I elect to have my shares of Common Stock delivered as follows: _____ Please have the shares delivered electronically via DWAC to my brokerage account. Please use the information below to execute the transaction. Broker DTC number: ____________________________________________ My Account Number: ____________________________________________ _Number ____ Please register the certificate or book-entry notation representing the shares in the name set forth below and send the certificate or evidence of book-entry notation to the following address: Registered Name: _______________________________________________ Address: _______________________________________________ _______________________________________________:

Certificate Delivery. I elect to have my shares of Common Stock delivered as follows: _____ Please have the shares delivered electronically via DWAC to my brokerage account. Please use the information below to execute the transaction. Broker DTC number: ____________________________________________ My Account Number: ____________________________________________ _Number ____ Please register the certificate or book-entry notation representing the shares in the name set forth below and send the certificate or evidence of book-entry notation to the following address: Registered Name: _______________________________________________ Address: _______________________________________________ _______________________________________________:

Certificate Delivery. I elect to have my shares of Common Stock delivered as follows: _____ Please have the shares delivered electronically via DWAC to my brokerage account. Please use the information below to execute the transaction. Broker DTC number: ____________________________________________ My Account Number: ___________________Number _________________________ _____ Please register the certificate or book-entry notation representing the shares in the name set forth below and send the certificate or evidence of book-entry notation to the following address: Registered Name: _______________________________________________ Address: _______________________________________________ _______________________________________________

Certificate Delivery. I elect to have my shares of Common Stock delivered as follows: _____ Please have the shares delivered electronically via DWAC to my brokerage account. Please use the information below to execute the transaction. Broker DTC number: ____________________________________________ My Account Number: __________________Number __________________________ _____ Please register the certificate or book-entry notation representing the shares in the name set forth below and send the certificate or evidence of book-entry notation to the following address: Registered Name: _________________________________________________ Address: _______________________________________________ _______________________________________________

Certificate Delivery. I elect to have my shares of Common Stock delivered as follows: _____ Please have the shares delivered electronically via DWAC to my brokerage account. Please use the information below to execute the transaction. Broker DTC number: ____________________________________________ My Account Number: ________________Number ____________________________ _____ Please register the certificate or book-entry notation representing the shares in the name set forth below and send the certificate or evidence of book-entry notation to the following address: Registered Name: _______________________________________________ Address: _______________________________________________ _______________________________________________

Certificate Delivery. I elect to have my shares of Common Stock delivered as follows: _____ Please have the shares delivered electronically via DWAC to my brokerage account. Please use the information below to execute the transaction. Broker DTC number: ____________________________________________ My Account Number: ______________Number ______________________________ _____ Please register the certificate or book-entry notation representing the shares in the name set forth below and send the certificate or evidence of book-entry notation to the following address: Registered Name: _______________________________________________ Address: _______________________________________________ _______________________________________________

Certificate Delivery. I elect to have my shares of Common Stock delivered as follows: _____ Please have the shares delivered electronically via DWAC to my brokerage account. Please use the information below to execute the transaction. Broker DTC number: ____________________________________________ My Account Number: ____________________________________________ Number _____ Please register the certificate or book-entry notation representing the shares in the name set forth below and send the certificate or evidence of book-entry notation to the following address: Registered Name: _______________________________________________ Address: _______________________________________________ _______________________________________________: