Print Name. Date: ..........................................................................
Print Name. Designation ...................................
Print Name. Designation ......................................... Dated this .. day of ........................ 20..........
Print Name. Position ............................................................................................................................................................. Date ..............................
Print Name. Number of shares owned subject to warrants, options or convertible securities: Certificate numbers:
Print Name. Position ......................................................................................................................
Print Name. (Instruction: Please do not fill in any blanks other than the signature line. The purpose of the assignment is to enable the Corporation to exercise its sale/purchase option set forth in the Restricted Stock Award Agreement without requiring additional signatures on the part of the Individual.)
Print Name. Address .................................................................
Print Name. Xxxxx Xxxxx ------------------------------- By: /s/ Xxxxx Xxxxx ------------------------------- Name: ------------------------------- Title: ------------------------------- Address: XXXXX ------------------------------- XXXXX ------------------------------- XXXXX ------------------------------- Telephone: (XXX) XXX-XXXX ------------------------------- Facsimile: (XXX) XXX-XXXX ------------------------------- SOC/EIN#: XX-XXXXXXX ------------------------------- Number of Shares of Common Stock to be Purchased 25,000 ------------------------------- Series 2003-1 Warrants to be Purchased 12,500 ------------------------------- Aggregate Purchase Price $ 102,500 ----------------- OMNIBUS SIGNATURE PAGE TO SPECTRUM PHARMACEUTICALS, INC. COMMON STOCK AND WARRANT PURCHASE AGREEMENT The undersigned hereby executes and delivers the Common Stock and Warrant Purchase Agreement to which this signature page is attached, which, together with all counterparts of the Agreement and signature pages of the other parties named in said Agreement, shall constitute one and the same document in accordance with the terms of the Agreement.
Print Name. Dated .......................................................