INSTRUCTIONS FOR REGISTRATION OF COMMON STOCK. Name Address (please typewrite or print in block letters) REPRESENTATIONS AND WARRANTIES ------------------------------ In connection with the exercise of the attached Warrant, the undersigned hereby represents and warrants that:
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INSTRUCTIONS FOR REGISTRATION OF COMMON STOCK. Name Address (please Please typewrite or print in block letters) REPRESENTATIONS AND WARRANTIES ------------------------------ In connection with the exercise of the attached Warrant, the undersigned hereby represents and warrants that:
Appears in 1 contract