INSTRUCTIONS FOR REGISTRATION OF STOCK. Name _________________________________ (Please typewrite or print in block letters.) Address _______________________________ Signature ______________________________ ASSIGNMENT FORM FOR VALUE RECEIVED, hereby sells, assigns and transfers unto Name _________________________________ (Please typewrite or print in block letters.) Address _______________________________ The right to purchase Common Stock represented by this Warrant to the extent of ___ shares as to which such right is exercisable and does hereby irrevocably constitute and appoint ______________, Attorney, to transfer the on the books of the Company with full power of substitution in the premises. Date ____________, 2000 Signature
Appears in 2 contracts
Samples: Greenlight Capital LLC, Greenlight Capital LLC
INSTRUCTIONS FOR REGISTRATION OF STOCK. Name ______Name:___________________________ (Please typewrite or print in block letters.) Address _____Address:__________________________ Signature _____Signature:_________________________ ASSIGNMENT FORM FOR VALUE RECEIVED, hereby sells, assigns and transfers unto Name ______Name:___________________________ (Please typewrite or print in block letters.) Address Address:__________________________ the right to purchase Common Stock of Vicon Industries, Inc. represented by this Warrant to the extent of shares as to which such right is exercisable and does hereby irrevocably constitute and appoint Attorney, to transfer the same on the books of the Company with full power of substitution in the premises. Date:_______________________________ The right to purchase Common Stock represented by this Warrant to the extent of ___ shares as to which such right is exercisable and does hereby irrevocably constitute and appoint ______________, Attorney, to transfer the on the books of the Company with full power of substitution in the premises. Date ____________, 2000 Signature
Appears in 1 contract
Samples: Vicon Industries Inc /Ny/
INSTRUCTIONS FOR REGISTRATION OF STOCK. Name Name____________________________________________________________________________ (Please please typewrite or print in block letters.) Address Address_________________________________________________________________________ Signature Signature_______________________________________________________________________ Tax Identification Number_______________________________________________________ ----------------- ASSIGNMENT FORM FOR VALUE RECEIVED, ___________________ hereby sells, assigns and transfers unto Name Name____________________________________________________________________________ (Please please typewrite or print in block letters.) Address Address_________________________________________________________________________ The right to purchase Common Stock represented by this Warrant to the extent of ________________________ shares as to which such right is exercisable (______) Warrants and does hereby irrevocably irrevocable constitute and appoint ______________, ______________ Attorney, to transfer the same on the books of the Company with full power of substitution in the premises. Date Date__________________________________________, 2000 Signature200__
Appears in 1 contract
INSTRUCTIONS FOR REGISTRATION OF STOCK. Name _________________________________ ------------------------------------------------ (Please typewrite or print in block letters.) Address _______________________________ ------------------------------------ Signature ______________________________ ------------------------------------------- ASSIGNMENT FORM FOR VALUE RECEIVED, -------------------------------------------------- hereby sells, assigns and transfers unto Name _________________________________ ------------------------------------------------ (Please typewrite or print in block letters.) Address _______________________________ The ------------------------------------ the right to purchase Common Stock represented by this Warrant to the extent of ___ shares as to which such right is exercisable and does hereby irrevocably constitute and appoint ______________, Attorney, to transfer the same on the books of the Company with full power of substitution in the premises. Date ____________, 2000 Signature------------------------------------------------
Appears in 1 contract
Samples: Therma Wave Inc
INSTRUCTIONS FOR REGISTRATION OF STOCK. Name ----------------------------------------- (Please typewrite or print in block letters.) Address ------------------------------------------ Signature ---------------------------------------- ASSIGNMENT FORM FOR VALUE RECEIVED, hereby sells, assigns and transfers unto Name _____________________________________________ (Please typewrite or print in block letters.) Address _______________________________ Signature ______________________________ ASSIGNMENT FORM FOR VALUE RECEIVED, hereby sells, assigns and transfers unto Name _________________________________ (Please typewrite or print in block letters.) Address _______________________________ The right to purchase Common Stock represented by this Warrant to the extent of ______ shares as to which such right is exercisable and does hereby irrevocably constitute and appoint ______________, Attorney, to transfer the on the books of the Company with full power of substitution in the premises. Date ____________, 2000 2001 Signature
Appears in 1 contract
Samples: Halpern Denny Iii Lp
INSTRUCTIONS FOR REGISTRATION OF STOCK. Name _________________________________ ------------------------------------------------ (Please typewrite or print in block letters.) Address _______________________________ ------------------------------------ Signature ______________________________ ------------------------------------------- ASSIGNMENT FORM FOR VALUE RECEIVED, ----------------------------------------- hereby sells, assigns and transfers unto Name _________________________________ ------------------------------------------------ (Please typewrite or print in block letters.) Address _______________________________ The ------------------------------------ the right to purchase Common Stock represented by this Warrant to the extent of ___ shares as to which such right is exercisable and does hereby irrevocably constitute and appoint ______________, Attorney, to transfer the same on the books of the Company with full power of substitution in the premises. Date ____________, 2000 Signature------------------------------------------------ Signature --------------------------------------------
Appears in 1 contract
Samples: Deephaven Capital Management LLC
INSTRUCTIONS FOR REGISTRATION OF STOCK. Name ____________________________________ (Please typewrite or print in block letters.) Address _________________________________ Signature _______________________________ ASSIGNMENT FORM --------------- FOR VALUE RECEIVED, hereby sells, assigns and transfers unto Name ____________________________________ (Please typewrite or print in block letters.) Address _________________________________ The right to purchase Common Stock represented by this Warrant to the extent of ___ shares as to which such right is exercisable and does hereby irrevocably constitute and appoint ______________, Attorney, to transfer the on the books of the Company with full power of substitution in the premises. Date ____________, 2000 Signature2000
Appears in 1 contract
Samples: Bet Associates Lp
INSTRUCTIONS FOR REGISTRATION OF STOCK. Name Name___________________________________________________________________ (Please typewrite or print in block letters.) Address ________________________________________________________________ Signature Signature______________________________________________ ASSIGNMENT FORM FOR VALUE RECEIVED, _______________________________ hereby sells, assigns and transfers unto Name (Please typewrite or print in block letters) Address_________________________________________________________________ (Please typewrite or print in block letters.) Address _______________________________ The the right to purchase Common Stock represented by this Warrant to the extent of __________ shares as to which such right is exercisable and does hereby irrevocably constitute and appoint ______________, _____________________________________ Attorney, to transfer the same on the books of the Company with full power of substitution in the premises. Date _______________, 2000 SignatureSignature _________________________________
Appears in 1 contract
Samples: Stock Purchase Agreement (Plures Technologies, Inc./De)
INSTRUCTIONS FOR REGISTRATION OF STOCK. Name _____-------------------------------------------- (Please typewrite or print in block letters) Address ----------------------------------------- Signature --------------------------------------- EXHIBIT C ASSIGNMENT FORM FOR VALUE RECEIVED, ____________________________ hereby sells, assigns and transfers unto Name -------------------------------------------- (Please typewrite or print in block letters.) Address _______________________________ Signature ______________________________ ASSIGNMENT FORM FOR VALUE RECEIVED, hereby sells, assigns and transfers unto Name _________________________________ (Please typewrite or print in block letters.) Address _______________________________ The ----------------------------------------- the right to purchase Common Stock represented by this Warrant Option to the extent of ___ shares as to which such right is exercisable and does hereby irrevocably constitute and appoint ______________, Attorney, to transfer the same on the books of the Company with full power of substitution in the premises. Date ____________, 2000 Signature19 ------------- --
Appears in 1 contract
Samples: Stock Option Agreement (Ricex Co)
INSTRUCTIONS FOR REGISTRATION OF STOCK. Name ___________________________________________________________________________ (Please typewrite or print in block letters.) Address Signature ____________________________________ Signature FOR VALUE RECEIVED, ___________________________________________________ ASSIGNMENT FORM FOR VALUE RECEIVED, hereby sells, assigns and transfers transfer unto Name ___________________________________________________________________________ (Please typewrite or print in block letters.) Address ________________________________________________________________________ The the right to purchase Common Stock represented by this Warrant to the extent of _______________ shares as to which such right is exercisable and does hereby irrevocably constitute and appoint ______________, _ Attorney, to transfer the same on the books of the Company with full power of substitution in the premises. Date Dated:__________, 19_____ Signature____________, 2000 Signature______________ Signature Guaranteed ___________________________________
Appears in 1 contract
Samples: Brokerage Commission Agreement (Microtel International Inc)
INSTRUCTIONS FOR REGISTRATION OF STOCK. Name -------------------- (Please typewrite or print in block letters) Address ------------------ Signature --------------- ASSIGNMENT FORM FOR VALUE RECEIVED, ______________________ hereby sells, assigns and transfers unto Name ____________________ (Please typewrite or print in block letters.) Address _______________________________ Signature ______________________________ ASSIGNMENT FORM FOR VALUE RECEIVED, hereby sells, assigns and transfers unto Name _________________________________ (Please typewrite or print in block letters.) Address _______________________________ The the right to purchase Common Stock represented by this Warrant to the extent of ______ shares as to which such right is exercisable and does hereby irrevocably constitute and appoint ______________, _ Attorney, to transfer the same on the books of the Company with full power of substitution in the premises. Date ________ , 199_____, 2000 Signature
Appears in 1 contract
Samples: Big Smith Brands Inc
INSTRUCTIONS FOR REGISTRATION OF STOCK. Name _________________________________ (Please typewrite or print in block letters.) Address _______________________________ Signature ______________________________ ASSIGNMENT FORM FOR VALUE RECEIVED, hereby sells, assigns and transfers unto Name _________________________________ (Please typewrite or print in block letters.) Address _______________________________ The right to purchase Common Stock represented by this Warrant to the extent of ___ shares as to which such right is exercisable and does hereby irrevocably constitute and appoint ______________, Attorney, to transfer the on the books of the Company with full power of substitution in the premises. Date ____________, 2000 Signature2000
Appears in 1 contract
Samples: Greenlight Capital LLC
INSTRUCTIONS FOR REGISTRATION OF STOCK. Name ______Name:___________________________ (Please typewrite or print in block letters.) Address _____Address:__________________________ Signature _____Signature:_________________________ ASSIGNMENT FORM FOR VALUE RECEIVED, ____________________ hereby sells, assigns and transfers unto Name ______Name:___________________________ (Please typewrite or print in block letters.) Address Address:__________________________ the right to purchase Common Stock of Saleen Automotive, Inc. represented by this Warrant to the extent of shares as to which such right is exercisable and does hereby irrevocably constitute and appoint Attorney, to transfer the same on the books of the Company with full power of substitution in the premises. Date:_____________________________ The right to purchase Common Stock represented by this Warrant to the extent of ___ shares as to which such right is exercisable and does hereby irrevocably constitute and appoint Signature:______________, Attorney, to transfer the on the books of the Company with full power of substitution in the premises. Date ____________, 2000 Signature
Appears in 1 contract
Samples: Saleen Automotive, Inc.
INSTRUCTIONS FOR REGISTRATION OF STOCK. Name ______Name:___________________________ (Please typewrite or print in block letters.) Address _____Address:__________________________ Signature _____Signature:_________________________ ASSIGNMENT FORM FOR VALUE RECEIVED, ___________________________hereby sells, assigns and transfers unto Name ______Name:___________________________ (Please typewrite or print in block letters.) Address Address:__________________________ the right to purchase Common Stock of Saleen Automotive, Inc. represented by this Warrant to the extent of shares as to which such right is exercisable and does hereby irrevocably constitute and appoint Attorney, to transfer the same on the books of the Company with full power of substitution in the premises. Date:_____________________________ The right to purchase Common Stock represented by this Warrant to the extent of ___ shares as to which such right is exercisable and does hereby irrevocably constitute and appoint Signature:______________, Attorney, to transfer the on the books of the Company with full power of substitution in the premises. Date ____________, 2000 Signature
Appears in 1 contract
Samples: Saleen Automotive, Inc.
INSTRUCTIONS FOR REGISTRATION OF STOCK. Name Name____________________________________________________________________________ (Please typewrite or print in block letters.) Address Signature______________________________ ______________________________ FOR VALUE RECEIVED,______________________________ hereby sells, assigns and transfer unto Name_______________________________ Signature ______________________________ ASSIGNMENT FORM FOR VALUE RECEIVED, hereby sells, assigns and transfers unto Name _________________________________ (Please typewrite or print in block letters.) Address Address_________________________________________________________________________ The the right to purchase Common Stock represented by this Warrant to the extent of __________ shares as to which such right is exercisable and does hereby irrevocably constitute and appoint ______________, _ Attorney, to transfer the same on the books of the Company with full power of substitution in the premises. Date Dated:__________, 19_____ Signature ____________, 2000 Signature__________________ Signature Guaranteed _________________________
Appears in 1 contract
Samples: Brokerage Commission Agreement (Microtel International Inc)