Form of Notice of Exercise. [To be signed only upon exercise of the Warrant] TO BE EXECUTED BY THE REGISTERED HOLDER TO EXERCISE THE WITHIN WARRANT The undersigned hereby exercises the right to purchase ________ Warrant Shares which the undersigned is entitled to purchase by the terms of the within Warrant according to the conditions thereof, and herewith makes payment of the Exercise Price of such shares in full, as provided in the Warrant. All shares to be issued pursuant hereto shall be issued in the name of and the initial address of such person to be entered on the books of the Company shall be: ________________________________________ [Type Name of Holder] By: _____________________________________ Dated: ___________________________________ Address: ________________________________ ________________________________________ ________________________________________
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Samples: TechCom, Inc., TechCom, Inc., TechCom, Inc.