NOTICE OF EXERCISE OF WARRANT. To Be Executed by the Registered Holder in Order to Exercise the Warrant The undersigned hereby irrevocably elects to exercise the attached Warrant to purchase for cash, __________________ of the shares issuable upon the exercise of such Warrant, and requests that certificates for such shares (together with a new Warrant to purchase the number of shares, if any, with respect to which this Warrant is not exercised) shall be issued in the name of __________________________________________ (Print Name) Please insert social security or other identifying number of registered Holder of certificate (_____________) Address: __________________________________________ __________________________________________ Dated: ____________ __________________________________________ Signature* *The signature on the Notice of Exercise of Warrant must correspond to the name as written upon the face of the Warrant in every particular without alteration or enlargement or any change whatsoever. When signing on behalf of a corporation, partnership, trust or other entity, PLEASE indicate your position(s) and title(s) with such entity. ASSIGNMENT FORM To be signed only upon authorized transfer of Warrants. FOR VALUE RECEIVED, the undersigned hereby sells, assigns, and transfers unto _______________________________ the right to purchase the securities of Cougar Biotechnology, Inc. to which the within Warrant relates and appoints ______________________, attorney, to transfer said right on the books of Cougar Biotechnology, Inc. with full power of substitution in the premises. Dated: ____________ __________________________________________ (Signature) Address: __________________________________________ __________________________________________
NOTICE OF EXERCISE OF WARRANT. The undersigned hereby irrevocably elects to exercise the right, represented by the Warrant dated as of ______________, __________________, to purchase shares of the Common Stock, $0.005 par value, of ENSERVCO CORPORATION and tenders herewith payment in accordance with said Common Stock Purchase Warrant. _ CASH: $ _______________________ = (Exercise Price x Exercise Shares) Payment is being made by: _ enclosed check _ wire transfer _ wire transfer _ OTHER: _______________________ (describe) I understand that I may only exercise this Warrant if there is a registration statement relating to the exercise of this Warrant that is effective under federal and applicable state law, or alternatively if there is an exemption from registration available under federal and applicable state (which exemption must be established to the satisfaction of the Company). In each case, I understand that the Company may require that I provide it information regarding my financial status, state of residence, and other information necessary to determine whether the exercise is subject to an effective registration statement or to determine whether an applicable exemption is available. To the extent required by the Company to establish an exemption from registration, I will provide the Company information as to my status as an accredited investor and execute a subscription agreement in the form requested by the Company provided that form is reasonably consistent with industry custom and practice. Please deliver the stock certificate to: Dated: [Name of Holder] By:
NOTICE OF EXERCISE OF WARRANT. The undersigned hereby irrevocably elects to exercise the right, represented by the Warrant Certificate dated as of _________________, 20____, to purchase ___________________ shares of the Common Stock of XXXXX.XXX GROUP, INC. at an Exercise Price of $ ___________ per share, for an aggregate price of $ ___________ and tenders herewith payment in accordance with Section 1 of said Common Stock Purchase Warrant. Please deliver the stock certificate to: Dated: [Name of Xxxxxx]
NOTICE OF EXERCISE OF WARRANT. This Warrant may be exercised by this Holder by a written notice signed by this Holder, and delivered or mailed to SurfNet to the attention of the President. The notice shall specify the number of shares of Stock which this Holder elects to purchase hereunder, and be accompanied by (i) a certified or cashier's check payable to SurfNet in payment of the total Exercise Price applicable to such shares as provided herein. Upon receipt of an such notice and accompanying payment, SurfNet agrees to issue to this Holder stock certificates for the number of shares specified in such notice registered in the name of this Holder.
NOTICE OF EXERCISE OF WARRANT. To Be Executed by the Registered Holder in Order to Exercise the Warrant The undersigned hereby irrevocably elects to exercise the attached Warrant to purchase [check applicable method] for cash/ * pursuant to the “cashless” exercise provisions of Section 1(b) of the Warrant, of the shares issuable upon the exercise of such Warrant, and requests that certificates for such shares (together with a new Warrant to purchase the number of shares, if any, remaining under this Warrant after exercise) shall be issued in the name of: (Print Name) Please insert social security or other identifying number of registered holder of certificate ( ) (Address) Date: Signature** * If exercise is a “cashless” exercise pursuant to Section 1(b), enclose computation of shares purchased, date of determination of Fair Market Value, and computation of Fair Market Value. ** The signature on the Notice of Exercise of Warrant must correspond to the name as written upon the face of the Warrant in every particular without alteration or enlargement or any change whatsoever. When signing on behalf of a corporation, partnership, trust or other entity, PLEASE indicate your position(s) and title(s) with such entity. ASSIGNMENT FORM To be signed only upon authorized transfer of Warrants. FOR VALUE RECEIVED, the undersigned hereby sells, assigns, and transfers unto the right to purchase the securities of XATA Corporation to which the ______ within Warrant relates and appoints ______, attorney, to transfer said ______ right on the books of XATA Corporation with full power of substitution in the premises. Dated: (Signature) (Address)
NOTICE OF EXERCISE OF WARRANT. 1. The undersigned Holder hereby exercises its right to purchase ___________ shares of the Common Stock of HUMACYTE, INC. (the “Company”) in accordance with the attached Warrant to Purchase Common Stock, and tenders payment of the aggregate Warrant Price for such shares as follows: [ ] check in the amount of $________ payable to the order of the Company enclosed herewith [ ] Wire transfer of immediately available funds to the Company’s account [ ] Cashless Exercise pursuant to Section 1.2 of the Warrant [ ] Other [Describe] __________________________________________
NOTICE OF EXERCISE OF WARRANT. The undersigned hereby irrevocably elects to exercise the right, represented by the Warrant dated as of ______________________, to purchase _____________ shares of the Common Stock of PEDEVCO Corp., and tenders herewith payment in accordance with the first paragraph of Section 2 of the Warrant, pursuant to the provisions of Section 2 of the Warrant. Please deliver the stock certificate to: ______________________________________ ______________________________________ ______________________________________ Dated: ___________________ By:_______________________
NOTICE OF EXERCISE OF WARRANT. To Be Executed by the Registered Holder in Order to Exercise the Warrant The undersigned hereby irrevocably elects to exercise the attached Warrant to purchase for cash, of the shares issuable upon the exercise of such Warrant, and requests that certificates for such shares (together with a new Warrant to purchase the number of shares, if any, with respect to which this Warrant is not exercised) shall be issued in the name of (Print Name) Please insert social security or other identifying number of registered Holder of certificate: Address: Dated: Signature* * The signature on the Notice of Exercise of Warrant must correspond to the name as written upon the face of the Warrant in every particular without alteration or enlargement or any change whatsoever. When signing on behalf of a corporation, partnership, trust or other entity, PLEASE indicate your position(s) and title(s) with such entity. If the Warrant is registered in the name of more than one Holder, all Holders must sign. ASSIGNMENT FORM To be signed only upon authorized transfer of Warrants. FOR VALUE RECEIVED, the undersigned hereby sells, assigns, and transfers unto the right to purchase the securities of Wireless Ronin Technologies, Inc. to which the within Warrant relates and appoints , attorney, to transfer said right on the books of Wireless Ronin Technologies, Inc. with full power of substitution in the premises. Dated: (Signature) Address:
NOTICE OF EXERCISE OF WARRANT. 1. The undersigned Holder hereby exercises its right to purchase shares of the Common Stock of BIGCOMMERCE HOLDINGS, INC., a Delaware corporation (the “Company”) in accordance with the attached Warrant To Purchase Common Stock, and tenders payment of the aggregate Warrant Price for such shares as follows: [ ] check in the amount of $ payable to the order of the Company enclosed herewith [ ] Wire transfer of immediately available funds to the Company’s account [ ] Cashless Exercise pursuant to Section 1.2 of the Warrant [ ] Other [Describe]
NOTICE OF EXERCISE OF WARRANT. To be signed by the registered Holder in order to exercise the Warrant TO: CELCUITY INC. The undersigned Holder hereby irrevocably elects to exercise the attached Warrant to purchase for cash __________________ of the Warrant Shares issuable upon the exercise of such Warrant, and requests that certificates for such Warrant Shares (together with a new Warrant to purchase the number of Warrant Shares, if any, with respect to which this Warrant is not exercised) be issued in the name of the following person: Name in which Shares shall be registered (please print) Social security or tax identification number Address:
