INSTRUCTIONS FOR REGISTRATION OF SECURITIES. Name:_______________________________________________________ (Print in Block Letters) Address: _____________________________________________________ NOTICE: The signature to this form must correspond with the name as written upon the face of the Purchase Warrant without alteration or enlargement or any change whatsoever, and must be guaranteed by a bank, other than a savings bank, or by a trust company or by a firm having membership on a registered national securities exchange. EXHIBIT B Form to be used to assign Purchase Warrant: ASSIGNMENT (To be executed by the registered Holder to effect a transfer of the within Purchase Warrant): FOR VALUE RECEIVED, _______________________________ does hereby sell, assign and transfer unto the right to purchase __________ shares of Common Stock, Neuraxis, Inc., a Delaware corporation (the “Company”), evidenced by the Purchase Warrant and does hereby authorize the Company to transfer such right on the books of the Company. Dated:______, 20____ Signature: _______________________________________ Signature Guaranteed
Appears in 4 contracts
Samples: Underwriting Agreement (Neuraxis, INC), Underwriting Agreement (Neuraxis, INC), Underwriting Agreement (Neuraxis, INC)
INSTRUCTIONS FOR REGISTRATION OF SECURITIES. Name:_______________________________________________________ (Print in Block Letters) Address: _____________________________________________________ NOTICE: The signature to this form must correspond with the name as written upon the face of the Purchase Warrant without alteration or enlargement or any change whatsoever, and must be guaranteed by a bank, other than a savings bank, or by a trust company or by a firm having membership on a registered national securities exchange. EXHIBIT B Form to be used to assign Purchase Warrant: ASSIGNMENT (To be executed by the registered Holder to effect a transfer of the within Purchase Warrant): FOR VALUE RECEIVED, _______________________________ does hereby sell, assign and transfer unto the right to purchase __________ shares of Common Stock, NeuraxisMOBIQUITY TECHNOLOGIES, Inc., INC. a Delaware New York corporation (the “Company”), evidenced by the Purchase Warrant and does hereby authorize the Company to transfer such right on the books of the Company. Dated:______, 20____ Signature: _______________________________________ Signature Guaranteed
Appears in 3 contracts
Samples: S Warrant Agreement (Mobiquity Technologies, Inc.), S Warrant Agreement (Mobiquity Technologies, Inc.), Underwriters’ Warrant Agreement (Mobiquity Technologies, Inc.)
INSTRUCTIONS FOR REGISTRATION OF SECURITIES. Name:_______________________________________________________ (Print in Block Letters) Address: _____________________________________________________ NOTICE: The signature to this form must correspond with the name as written upon the face of the Purchase Warrant without alteration or enlargement or any change whatsoever, and must be guaranteed by a bank, other than a savings bank, or by a trust company or by a firm having membership on a registered national securities exchange. EXHIBIT B Form to be used to assign Purchase Warrant: ASSIGNMENT (To be executed by the registered Holder to effect a transfer of the within Purchase Warrant): FOR VALUE RECEIVED, _______________________________ does hereby sell, assign and transfer unto the right to purchase __________ shares of Common Stock, Neuraxis, Inc., SINGLEPOINT INC. a Delaware Nevada corporation (the “Company”), evidenced by the Purchase Warrant and does hereby authorize the Company to transfer such right on the books of the Company. Dated:______, 20____ Signature: _______________________________________ Signature Guaranteed
Appears in 2 contracts
Samples: Underwriters’ Warrant Agreement (SinglePoint Inc.), Underwriters’ Warrant Agreement (SinglePoint Inc.)
INSTRUCTIONS FOR REGISTRATION OF SECURITIES. Name:_______________________________________________________ (Print in Block Letters) Address: _____________________________________________________ NOTICE: The signature to this form must correspond with the name as written upon the face of the Purchase Warrant without alteration or enlargement or any change whatsoever, and must be guaranteed by a bank, other than a savings bank, or by a trust company or by a firm having membership on a registered national securities exchange. EXHIBIT B Form to be used to assign Purchase Warrant: ASSIGNMENT (To be executed by the registered Holder to effect a transfer of the within Purchase Warrant): FOR VALUE RECEIVED, _______________________________ does hereby sell, assign and transfer unto the right to purchase __________ shares of Common Stock, Neuraxis, Inc., ADAMAS ONE CORP. a Delaware Nevada corporation (the “Company”), evidenced by the Purchase Warrant and does hereby authorize the Company to transfer such right on the books of the Company. Dated:______, 20____ Signature: _______________________________________ Signature Guaranteed
Appears in 2 contracts
Samples: Underwriting Agreement (Adamas One Corp.), Underwriting Agreement (Adamas One Corp.)
INSTRUCTIONS FOR REGISTRATION OF SECURITIES. Name:: _______________________________________________________ (Print in Block Letters) Address: _______________________________________________________ NOTICE: The signature to this form must correspond with the name as written upon the face of the Purchase Warrant without alteration or enlargement or any change whatsoever, and must be guaranteed by a bank, other than a savings bank, or by a trust company or by a firm having membership on a registered national securities exchange. EXHIBIT B Form to be used to assign Purchase Warrant: ASSIGNMENT (To be executed by the registered Holder to effect a transfer of the within Purchase Warrant): FOR VALUE RECEIVED, _______________________________ does hereby sell, assign and transfer unto the right to purchase __________ shares of Common Stock, Neuraxis, Inc., a Delaware corporation (the “Company”), evidenced by the Purchase Warrant and does hereby authorize the Company to transfer such right on the books of the Company. Dated:______, 20____ Signature: _______________________________________ Signature Guaranteed
Appears in 1 contract