Number or Social Security Number. Print or type address, telephone number and fax number preferred for shareholder communications: Address: c/o Kelso & Company ----------------------------------------------------- 320 Park Avenue, 24th Floor ----------------------------------------------------- Xxx Xxxx, XX 00000 ----------------------------------------------------- Telephone: (212) 751-3939 --------------------------------------------------- Fax: (212) 223-2379 --------------------------------------------------------- Accepted this ___ day of ______, 2001 IXL ENTERPRISES, INC. By: /s/ Theodore W. Browne ---------------------------------------------------------- Name: Theodore W. Browne -------------------------------------------------------- Title: Executive Vice President ------------------------------------------------------- EXHIBIT A AGREEMENT TO BE BOUND TO AMENDED AND RESTATED REGISTRATION RIGHTS AGREEMENT THIS AGREEMENT TO BE BOUND TO AMENDED AND RESTATED REGISTRATION RIGHTS AGREEMENT, dated as of _______________, 2001 is by and between iXL Enterprises, Inc., a Delaware corporation (the "Company"), and the stockholder listed on the signature page hereto (the "Stockholder").
Number or Social Security Number. A Commitment for the issuance of the ALTA Policy and copies of all items listed in Schedule B thereof.
Number or Social Security Number. Print or type address, telephone number and fax number preferred for stockholder communications:
Number or Social Security Number. (If acquired in the name of a nominee/custodian, the taxpayer I.D. number of such nominee/custodian) Person To Receive Copies of Transaction Documents: Name: Telephone Number: Email: Operations Contacts: Primary: Telephone Number: Email: Secondary:
Number or Social Security Number. (Required if partnership or corporation) (Required if Applicant has no EIN Number) Contact office for EIN NUMBER OF FACILITIES under same EIN or SSN #: (List additional names, addresses on separate piece of paper and attach to application) Business References: (name, address and phone number) (name, address and phone number) Credit Reference: (name, address, and phone number – i.e., Supplier, Vendor, Bank) Primary Contact Name: Title: E-Mail address: Secondary Contact Name: (if applicable) Title: E-Mail address: Waterborne Solvent based Brand of Paint(s) used: Estimating system Used: Xxxxxxxx CCC ADP Manual Website address: Jobber/Supplier Name: Contact Name: Phone: Jobber/Supplier Name: Contact Name: Phone: CC200 Rep #/Code: Office Use Only
Number or Social Security Number. Print or type address, telephone number and fax number preferred for shareholder communications: Address: 30 Wacker Dr. #2406 Chicago, IL 60000 ---------------------------------------------- Telephone: (312) 715-1817 -------------------------------------------- Fax: (312) 715-1866 -------------------------------------------------- Accepted this 30th day of March, 2001 IXL ENTERPRISES, INC. By: /s/ Theodore W. Browne --------------------------------------------------- Name: Theodore W. Browne ------------------------------------------------- Title: Executive Vice President ------------------------------------------------ EXHIBIT A AGREEMENT TO BE BOUND TO AMENDED AND RESTATED REGISTRATION RIGHTS AGREEMENT THIS AGREEMENT TO BE BOUND TO AMENDED AND RESTATED REGISTRATION RIGHTS AGREEMENT, dated as of _______________, 2001 is by and between iXL Enterprises, Inc., a Delaware corporation (the "Company"), and the stockholder listed on the signature page hereto (the "Stockholder").
Number or Social Security Number. The initial term of this Agreement is for the period to . Either party may terminate this Agreement by giving sixty (60) days written notice to the other party. If this Agreement is terminated prior to completion, Contractor shall be paid for services rendered and allowable expenses incurred to the date of termination. Contractor shall provide to University, all reports, drawings, and other work products produced by Contractor as a part of this Agreement to the time of termination.
Number or Social Security Number. No payment requirements shall start until a properly completed invoice is provided to the Division, inspected, and approved. Invoices that must be returned to the Contractor due to preparation errors will result in a delay in payment.