Common use of CONVERSION NOTICE Clause in Contracts

CONVERSION NOTICE. To convert this Note into Applicable Stock of the Company, check the box: [ ] To convert only part of this Note, state the principal amount to be converted (must be $1,000 or a integral multiple of $1,000): $____________. If you want the stock certificate made out in another person's name, fill in the form below: ________________________________________________________________________________ (Insert assignee's soc. sec. or tax I.D. no.) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ (Print or type assignee's name, address and zip code) Your Signature: Date: ________________________________ ____________________________________ (Sign exactly as your name appears on the other side of this Note) *Signature guaranteed by: By: __________________________________ * The signature must be guaranteed by an institution which is a member of one of the following recognized signature guaranty programs: (i) the Securities Transfer Agent Medallion Program (STAMP); (ii) the New York Stock Exchange Medallion Program (MSP); (iii) the Stock Exchange Medallion Program (SEMP); or (iv) such other guaranty program acceptable to the Trustee.

Appears in 2 contracts

Samples: Indenture (Veritas Software Corp /De/), Indenture (Symantec Corp)

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CONVERSION NOTICE. To convert this Note into Applicable Common Stock of the Company, check the box: [ ] To convert only part of this Note, state the principal amount to be converted (must be $1,000 or a integral multiple of $1,000): $____________. _ If you want the stock certificate made out in another person's name, fill in the form below: ________________________________________________________________________________ -------------------------------------------------------------------------------- (Insert assignee's soc. sec. or tax I.D. no.) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- (Print or type assignee's name, address and zip code) Your Signature: Date: ________________________________ ____________________________________ ------------------------- ------------------------------------- (Sign exactly as your name appears on the other side of this Note) *Signature guaranteed by: By: __________________________________ --------------------------- * The signature must be guaranteed by an institution which is a member of one of the following recognized signature guaranty programs: (i) the Securities Transfer Agent Medallion Program (STAMP); (ii) the New York Stock Exchange Medallion Program (MSP); (iii) the Stock Exchange Medallion Program (SEMP); or (iv) such other guaranty program acceptable to the Trustee.

Appears in 1 contract

Samples: Emulex Corp /De/

CONVERSION NOTICE. To convert this Note Security into Applicable Common Stock of the Company, check the box: [ ] o To convert only part of this NoteSecurity, state the principal amount to be converted (must be $1,000 or a integral multiple of $1,000): $____________. $ If you want the stock certificate made out in another person's name, fill in the form below: ___________below _____________________________________________________________________ (Insert assignee's soc. sec. social security or tax I.D. no.number) ________________________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ ________________________________________________________________________________ (Print or type assignee's name, address and zip code) Date: Your Signature: Date: ________________________________ ____________________________________ (Sign exactly as your name appears on the other side of this NoteSecurity) ** Signature guaranteed by: By: __________________________________ * The signature must be guaranteed by an institution which is a member of one of the following recognized signature guaranty programs: (i) the Securities Transfer Agent Medallion Program (STAMP); (ii) the New York Stock Exchange Medallion Program (MSP); (iii) the Stock Exchange Medallion Program (SEMP); or (iv) such other guaranty program acceptable to the Trustee.

Appears in 1 contract

Samples: Radisys Corp

CONVERSION NOTICE. To convert this Note Security into Applicable Common Stock of the Company, check the box: [ ] To convert only part of this NoteSecurity, state the principal amount Principal Amount at Maturity to be converted (must be $1,000 or a integral multiple of $1,000): $______________. If you want the stock certificate made out in another person's name, fill in the form below: ________________________________________________________________________________ -------------------------------------------------------------------------------- (Insert assigneeother person's soc. sec. or tax I.D. no.) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ -------------------------------------------------------------------------------- (Print or type assigneeother person's name, address and zip code) Your Signature: Date: ________________________________ ____________________________________ --------------------------- ---------------------------- (Sign exactly as your name appears on the other side of this NoteSecurity) *Signature guaranteed by: ------------------------------------------------------ By: __________________________________ * --------------------------------- --------- *The signature must be guaranteed by an institution which is a member of one of the following recognized signature guaranty programs: (i) the Securities Transfer Agent Medallion Program (STAMP); (ii) the New York Stock Exchange Medallion Program (MSP); (iii) the Stock Exchange Medallion Program (SEMP); or (iv) such other guaranty program acceptable to the Trustee.

Appears in 1 contract

Samples: El Paso Corp/De

CONVERSION NOTICE. To convert this Note Security into Applicable Common Stock of the Company, check the box: [ ] To convert only part of this NoteSecurity, state the principal amount Principal Amount to be converted (must be $1,000 or a integral multiple of $1,000): $______________. If you want the stock certificate made out in another person's name, fill in the form below: ________________________________________________________________________________ ------------------------------------------------ (Insert assigneeother person's soc. sec. or tax I.D. no.) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ --------------------------------------------------------- --------------------------------------------------------- --------------------------------------------------------- --------------------------------------------------------- --------------------------------------------------------- (Print or type assigneeother person's name, address and zip code) Your Signature: Date: ________________________________ ____________________________________ --------------------------- --------- (Sign exactly as your name appears on the other side of this NoteSecurity) *Signature guaranteed by: ------------------------- By: __________________________________ * ------------------------------ *The signature must be guaranteed by an institution which is a member of one of the following recognized signature guaranty programs: (i) the Securities Transfer Agent Medallion Program (STAMP); (ii) the New York Stock Exchange Medallion Program (MSP); (iii) the Stock Exchange Medallion Program (SEMP); or (iv) such other guaranty program acceptable to the Trustee.

Appears in 1 contract

Samples: Anadarko Petroleum Corp

CONVERSION NOTICE. To convert this Note into Applicable Common Stock of the Company, check the box: [ ] ----- To convert only part of this Note, state the principal amount to be converted (must be $1,000 or a integral multiple of $1,000): $____________. If you want the stock certificate made out in another person's name, fill in the form below: ________________________________________________________________________________ ----------------------------------------------------------------------- (Insert assignee's soc. sec. or tax I.D. no.) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ----------------------------------------------------------------------- ----------------------------------------------------------------------- ----------------------------------------------------------------------- ----------------------------------------------------------------------- (Print or type assignee's name, address and zip code) Your Signature: Date: ________________________________ ____________________________________ ----------------------- --------------------------------------- (Sign exactly as your name appears on the other side of this Note) *Signature guaranteed by: By: __________________________________ ----------------------------------------------- * The signature must be guaranteed by an institution which is a member of one of the following recognized signature guaranty programs: (i) the Securities Transfer Agent Medallion Program (STAMP); (ii) the New York Stock Exchange Medallion Program (MSP); (iii) the Stock Exchange Medallion Program (SEMP); or (iv) such other guaranty program acceptable to the Trustee.

Appears in 1 contract

Samples: Indenture (Rf Micro Devices Inc)

CONVERSION NOTICE. To convert this 2008 Note into Applicable Common Stock of the CompanyIssuer, check the box: [ ] To convert only part of this 2008 Note, state the principal amount to be converted (must be $1,000 or a integral multiple of $1,000): $____________$ . -------------- If you want the stock certificate made out in another person's name, fill in the form below: ________________________________________________________________________________ (Insert assigneeother person's soc. sec. or tax I.D. no.) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ -------------------------------------------------------------------------------- (Print or type assigneeother person's name, address and zip code) Your Signaturesignature: Date: ________________________________ ____________________________________ ------------------------- ----------------------------- (Sign exactly as your name appears on the other side of this 2008 Note.) *Signature guaranteed by: ----------------------------------------- By: __________________________________ * The signature must be guaranteed by an institution which is a member of one of the following recognized signature guaranty programs: (i) the Securities Transfer Agent Medallion Program (STAMP); (ii) the New York Stock Exchange Medallion Program (MSP); (iii) the Stock Exchange Medallion Program (SEMP); or (iv) such other guaranty program acceptable to the Trustee.

Appears in 1 contract

Samples: Indenture (Service Corporation International)

CONVERSION NOTICE. To convert this Note Security into Applicable Common Stock of the Company, check the box: [ ] To convert only part of this NoteSecurity, state the principal amount to be converted (must be $1,000 or a integral multiple of $1,000): $______________. If you want the stock certificate made out in another person's name, fill in the form below: ________________________________________________________________________________ -------------------------------------------------------------------------------- (Insert assigneeother person's soc. sec. or tax I.D. no.) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ -------------------------------------------------------------------------------- (Print or type assigneeother person's name, address and zip code) Your Signature: Date: ________________________________ ____________________________________ ----------------------------- --------------------- (Sign exactly as your name appears on the other side of this NoteSecurity.) *Signature guaranteed by: ------------------------------------------------------ By: __________________________________ ---------------------------------------------- ---------- * The signature must be guaranteed by an institution which is a member of one of the following recognized signature guaranty programs: (i) the Securities Transfer Agent Medallion Program (STAMP); (ii) the New York Stock Exchange Medallion Program (MSP); (iii) the Stock Exchange Medallion Program (SEMP); or (iv) such other guaranty program acceptable to the Trustee.

Appears in 1 contract

Samples: Indenture (Quanta Services Inc)

CONVERSION NOTICE. To convert this Note into Applicable Common Stock of the Company, check the box: [ ] ( ) To convert only part of this Note, state the principal amount to be converted (must be $1,000 or a integral multiple of $1,000): $____________. If you want the stock certificate made out in another person's name, fill in the form below: ________________________________________________________________________________ ---------------------------------------------------------------------------- (Insert assignee's soc. sec. or tax I.D. no.) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ---------------------------------------------------------------------------- ---------------------------------------------------------------------------- ---------------------------------------------------------------------------- ---------------------------------------------------------------------------- (Print or type assignee's name, address and zip code) Your Signature: Date: ________________________________ ____________________________________ ------------------- ------------------------------------ (Sign exactly as your name appears on the other side of this Note) *Signature guaranteed by: By: __________________________________ ------------------------- * The signature must be guaranteed by an institution which is a member of one of the following recognized signature guaranty programs: (i) the Securities Transfer Agent Medallion Program (STAMP); (ii) the New York Stock Exchange Medallion Program (MSP); (iii) the Stock Exchange Medallion Program (SEMP); or (iv) such other guaranty program acceptable to the Trustee.

Appears in 1 contract

Samples: Bisys Group Inc

CONVERSION NOTICE. To convert this Note into Applicable Stock of in accordance with the CompanyIndenture, check the box: [ ] To convert only part of this Note, state the principal amount to be converted (must be $1,000 or a integral multiple of $1,000): $____________. If you want the stock certificate representing the shares of Common Stock, if any, made out in another person's name, fill in the form below: ________________________________________________________________________________ -------------------------------------------------------------------------------- (Insert assignee's soc. sec. or tax I.D. no.) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- (Print or type assignee's name, address and zip code) Your Signature: Signature Date: ________________________________ ____________________________________ ------------------------------- ----------------------------------- (Sign exactly as your name appears on the other side of this Note) *Signature guaranteed by: By: __________________________________ * The signature must be guaranteed by an institution which is a member of one of the following recognized signature guaranty programs: (i) the i)the Securities Transfer Agent Medallion Program (STAMP); (ii) the New York Stock Exchange Medallion Program (MSP); (iii) the Stock Exchange Medallion Program (SEMP); or (iv) such other guaranty program acceptable to the Trustee.

Appears in 1 contract

Samples: Integra Lifesciences Holdings Corp

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CONVERSION NOTICE. To convert this Note Security into Applicable Common Stock of the Company, check the box: [ ] To convert only part of this NoteSecurity, state the principal amount to be converted (must be $1,000 or a integral multiple of $1,000): $____________. If you want the stock certificate made out in another person's name, fill in the form below: ________________________________________________________________________________ (Insert assignee's soc. sec. or tax I.D. no.) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ (Print or type assignee's name, address and zip code) Your Signature: Date: ________________________________ ____________________________________ ------------------------------- ---------------------------------------- (Sign exactly as your name appears on the other side of this NoteSecurity) *Signature guaranteed by: By: __________________________________ --------------------------------- ---------- * The signature must be guaranteed by an institution which is a member of one of the following recognized signature guaranty programs: (i) the Securities Transfer Agent Medallion Program (STAMP); (ii) the New York Stock Exchange Medallion Program (MSP); (iii) the Stock Exchange Medallion Program (SEMP); or (iv) such other guaranty program acceptable to the Trustee.

Appears in 1 contract

Samples: Credit Agreement (United Auto Group Inc)

CONVERSION NOTICE. To convert this Note into Applicable Common Stock of the Company, check the box: [ ] To convert only part of this Note, state the principal amount to be converted (must be $1,000 or a integral multiple of $1,000): $____________. If you want the stock certificate made out in another person's name, fill in the form below: ________________________________________________________________________________ -------------------------------------------------------------------------------- (Insert assignee's soc. sec. or tax I.D. no.) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- (Print or type assignee's name, address and zip code) Your Signature: Date: ________________________________ ____________________________________ ---------------------------- ---------------------------------------- (Sign exactly as your name appears on the other side of this Note) *Signature guaranteed by: By: __________________________________ ------------------------------ * The signature must be guaranteed by an institution which is a member of one of the following recognized signature guaranty programs: (i) the Securities Transfer Agent Medallion Program (STAMP); (ii) the New York Stock Exchange Medallion Program (MSP); (iii) the Stock Exchange Medallion Program (SEMP); or (iv) such other guaranty program acceptable to the Trustee.

Appears in 1 contract

Samples: HNC Software Inc/De

CONVERSION NOTICE. To convert this Note into Applicable Common Stock of the Company, check the box: [ ] ----- To convert only part of this Note, state the principal amount to be converted (must be $1,000 or a integral multiple of $1,000): $____________. If you want the stock certificate made out in another person's name, fill in the form below: ________________________________________________________________________________ ------------------------------------------------------------------------------- (Insert assignee's soc. sec. or tax I.D. no.) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- (Print or type assignee's name, address and zip code) Your Signature: Date: ________________________________ ____________________________________ --------------------- ------------------------------------------------ (Sign exactly as your name appears on the other side of this Note) *Signature guaranteed by: By: __________________________________ ---------------------- * The signature must be guaranteed by an institution which is a member of one of the following recognized signature guaranty programs: (i) the Securities Transfer Agent Medallion Program (STAMP); (ii) the New York Stock Exchange Medallion Program (MSP); (iii) the Stock Exchange Medallion Program (SEMP); or (iv) such other guaranty program acceptable to the Trustee.

Appears in 1 contract

Samples: Rf Micro Devices Inc

CONVERSION NOTICE. To convert this Note Security into Applicable Stock Ordinary Shares of the Company, check the box: [ ] To convert only part of this NoteSecurity, state the principal amount Principal Amount to be converted (must be $1,000 or a integral multiple of $1,000): $______________. If you want the stock certificate made out in another person's name, fill in the form below: ________________________________________________________________________________ -------------------------------------------------------------------------------- (Insert assigneeother person's soc. sec. or tax I.D. no.) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ -------------------------------------------------------------------------------- (Print or type assigneeother person's name, address and zip code) Your Signature: Date: ________________________________ ____________________________________ ---------------------------------- ---------------------- (Sign exactly as your name appears on the other side of this NoteSecurity) *Signature guaranteed by: ------------------------------------------------------- By: __________________________________ -------------------------------- -------- * The signature must be guaranteed by an institution which is a member of one of the following recognized signature guaranty programs: (i) the Securities Transfer Agent Medallion Program (STAMP); (ii) the New York Stock Exchange Medallion Program (MSP); (iii) the Stock Exchange Medallion Program (SEMP); or (iv) such other guaranty program acceptable to the Trustee.

Appears in 1 contract

Samples: Transocean Sedco Forex Inc

CONVERSION NOTICE. To convert this Note Security into Applicable Common Stock of the Company, check the box: [ ] To convert only part of this NoteSecurity, state the principal amount Principal Amount to be converted (must be $1,000 or a integral multiple of $1,000): $______________. If you want the stock certificate made out in another person's name, fill in the form below: ________________________________________________________________________________ -------------------------------------------------------------------------------- (Insert assigneeother person's soc. sec. or tax I.D. no.) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ -------------------------------------------------------------------------------- (Print or type assigneeother person's name, address and zip code) Your Signature: Date: ________________________________ ____________________________________ ---------------------- ----------------------------------- (Sign exactly as your name appears on the other side of this NoteSecurity) *Signature guaranteed by: ----------------------------------------------------- By: __________________________________ * --------------------------------------- *The signature must be guaranteed by an institution which is a member of one of the following recognized signature guaranty programs: (i) the Securities Transfer Agent Medallion Program (STAMP); (ii) the New York Stock Exchange Medallion Program (MSP); (iii) the Stock Exchange Medallion Program (SEMP); or (iv) such other guaranty program acceptable to the Trustee.

Appears in 1 contract

Samples: Supplemental Indenture (Corning Inc /Ny)

CONVERSION NOTICE. To convert this Note into Applicable Class A Subordinate Voting Stock of the Company, check the box: [ ] |_| To convert only part of this Note, state the principal amount to be converted (must be $1,000 or a integral multiple of $1,000): $____________. If you want the stock certificate made out in another person's name, fill in the form below: ________________________________________________________________________________ ------------------------------------------------------------------------------ (Insert assignee's soc. sec. or tax I.D. no.) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ------------------------------------------------------------------------------ ------------------------------------------------------------------------------ ------------------------------------------------------------------------------ ------------------------------------------------------------------------------ ------------------------------------------------------------------------------ (Print or type assignee's name, address and zip code) Your Signature: Date: ________________________________ ____________________________________ ---------------------------- ----------------------------------------- (Sign exactly as your name appears on the other side of this Note) *Signature guaranteed by: By: __________________________________ -------------------------------- * The signature must be guaranteed by an institution which is a member of one of the following recognized signature guaranty programs: (i) the Securities Transfer Agent Medallion Program (STAMP); (ii) the New York Stock Exchange Medallion Program (MSP); (iii) the Stock Exchange Medallion Program (SEMP); or (iv) such other guaranty program acceptable to the Trustee.

Appears in 1 contract

Samples: Indenture (Magna Entertainment Corp)

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