Common use of Facsimile or Digital Signature Clause in Contracts

Facsimile or Digital Signature. This Warrant may be executed by facsimile or digital signature. EXECUTED as of the Date of Issuance indicated above. XXXX ENERGY, INC. By: ______________________________________ Xxxx Xxxxxx President EXHIBIT A PURCHASE FORM To: Xxxx Energy, Inc. Dated: _________________________ 0000 00xx Xxxxxx XX Pipestone, MN 56164 The undersigned, pursuant to the provisions set forth in the attached Warrant (No. [ ]), hereby exercises the Warrant and elects to: [check one box] ☐ Purchase __________ Shares of Company Common Stock (the “Shares”) pursuant to the Warrant. This notice is accompanied by full payment of the Exercise Price in cash or by check or in another manner permitted by the Warrant Agreement ☐ Surrender the rights to purchase __________ Shares upon exercise of the Warrant and receive __________ Shares by reason of a “cashless” exercise pursuant to the Agreement if permitted by the Board. [THIS METHOD OF EXERCISE IS AVAILABLE ONLY WITH ADVANCE BOARD APPROVAL]. Address: EXHIBIT B ASSIGNMENT FORM To: Xxxx Energy, Inc. Dated: _________________________ 0000 00xx Xxxxxx XX Pipestone, MN 56164 FOR VALUE RECEIVED, the Holder hereby sells, assigns and transfers all of the rights of the undersigned under the attached Warrant (No. [ ]) with respect to the number of shares of Common Stock of Xxxx Energy, Inc. covered thereby set forth below unto: Name of Assignee: Address of Assignee: Number of Shares: Address: Signature Guaranteed: By:

Appears in 1 contract

Samples: Juhl Energy, Inc

AutoNDA by SimpleDocs

Facsimile or Digital Signature. This Warrant may be executed by facsimile or digital signature. EXECUTED as of the Date of Issuance indicated above. XXXX ENERGY, INC. By: ______________________________________ Xxxx Xxxxxx President EXHIBIT A PURCHASE FORM To: Xxxx Energy, Inc. Dated: _________________________ 0000 00xx Xxxxxx XX PipestoneXxxxxxxxx, MN 56164 XX 00000 The undersigned, pursuant to the provisions set forth in the attached Warrant (No. [ [__]), hereby exercises the Warrant and elects to: [check one box] ☐ Purchase __________ Shares of Company Common Stock (the “Shares”) pursuant to the Warrant. This notice is accompanied by full payment of the Exercise Price in cash or by check or in another manner permitted by the Warrant Agreement ☐ Surrender the rights to purchase __________ Shares upon exercise of the Warrant and receive __________ Shares by reason of a “cashless” exercise pursuant to the Agreement if permitted by the Board. [THIS METHOD OF EXERCISE IS AVAILABLE ONLY WITH ADVANCE BOARD APPROVAL]. [Holder] Address: EXHIBIT B ASSIGNMENT FORM To: Xxxx Energy, Inc. Dated: _________________________ 0000 00xx Xxxxxx XX PipestoneXxxxxxxxx, MN 56164 XX 00000 FOR VALUE RECEIVED, the Holder hereby sells, assigns and transfers all of the rights of the undersigned under the attached Warrant (No. [ [__]) with respect to the number of shares of Common Stock of Xxxx Energy, Inc. covered thereby set forth below unto: Name of Assignee: Address of Assignee: Number of Shares: [Holder] Address: Signature Guaranteed: By:: /s/ The signature should be guaranteed by an eligible guarantor institution (banks, stockbrokers, savings and loan associations and credit unions with membership in an approved signature guarantee medallion program) pursuant to Rule 17Ad-15 under the Securities Exchange Act of 1934.

Appears in 1 contract

Samples: Juhl Energy, Inc

Facsimile or Digital Signature. This Warrant may be executed by facsimile or digital signature. EXECUTED as of the Date of Issuance indicated above. XXXX ENERGY, INC. By: ______________________________________ Xxxx Xxxxxx President 7 EXHIBIT 10.14 EXHIBIT A PURCHASE FORM To: Xxxx Energy, Inc. Dated: _________________________ 0000 00xx Xxxxxx XX PipestoneXxxxxxxxx, MN 56164 XX 00000 The undersigned, pursuant to the provisions set forth in the attached Warrant (No. [ ]._____), hereby exercises the Warrant and elects to: . [check one box] ☐ Purchase __________ Shares of Company Common Stock (the “Shares”) pursuant to the Warrant. This notice is accompanied by full payment of the Exercise Price in cash or by check or in another manner permitted by the Warrant Agreement ☐ Surrender the rights to purchase __________ Shares upon exercise of the Warrant and receive __________ Shares by reason of a “cashless” exercise pursuant to the Agreement if permitted by the Board. [THIS METHOD OF EXERCISE IS AVAILABLE ONLY WITH ADVANCE BOARD APPROVAL]. [NAME OF WARRANT HOLDER] By: Its: Address: EXHIBIT 10.14 EXHIBIT B ASSIGNMENT FORM To: Xxxx Energy, Inc. Dated: _________________________ 0000 00xx Xxxxxx XX PipestoneXxxxxxxxx, MN 56164 XX 00000 FOR VALUE RECEIVED, the Holder ______________________ hereby sells, assigns and transfers all of the rights of the undersigned under the attached Warrant (No. [ ]._____) with respect to the number of shares of Common Stock of Xxxx Energy, Inc. covered thereby set forth below unto: Name of Assignee: Address of Assignee: Number of Shares: [NAME OF WARRANT HOLDER] By: Its: Address: Signature Guaranteed: By:

Appears in 1 contract

Samples: Juhl Energy, Inc

AutoNDA by SimpleDocs

Facsimile or Digital Signature. This Warrant may be executed by facsimile or digital signature. EXECUTED as of the Date of Issuance indicated above. XXXX ENERGY, INC. By: ______________________________________ Xxxx Xxxxxx President EXHIBIT A PURCHASE FORM To: Xxxx Energy, Inc. Dated: _________________________ 0000 00xx Xxxxxx XX Pipestone, MN 56164 The undersigned, pursuant to the provisions set forth in the attached Warrant (No. [ ]), hereby exercises the Warrant and elects to: [check one box] ☐ Purchase __________ Shares of Company Common Stock (the “Shares”) pursuant to the Warrant. This notice is accompanied by full payment of the Exercise Price in cash or by check or in another manner permitted by the Warrant Agreement ☐ Surrender the rights to purchase __________ Shares upon exercise of the Warrant and receive __________ Shares by reason of a “cashless” exercise pursuant to the Agreement if permitted by the Board. [THIS METHOD OF EXERCISE IS AVAILABLE ONLY WITH ADVANCE BOARD APPROVAL]. By Its Address: EXHIBIT B ASSIGNMENT FORM To: Xxxx Energy, Inc. Dated: _________________________ 0000 00xx Xxxxxx XX Pipestone, MN 56164 FOR VALUE RECEIVED, the Holder hereby sells, assigns and transfers all of the rights of the undersigned under the attached Warrant (No. [ ]) with respect to the number of shares of Common Stock of Xxxx Energy, Inc. covered thereby set forth below unto: Name of Assignee: Address of Assignee: Number of Shares: By Its Address: Signature Guaranteed: By:

Appears in 1 contract

Samples: Juhl Energy, Inc

Time is Money Join Law Insider Premium to draft better contracts faster.