Securities Delivery Instructions. Please instruct us as to where you would like the Securities delivered to at Closing: Name: ______________________________________________________ Company: ______________________________________________________ Address: ______________________________________________________ ______________________________________________________ Telephone: ______________________________________________________ Other Special Instructions:__________________________________________
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Securities Delivery Instructions. Please instruct us as to where you would like the Securities delivered to at Closing: Name: __________________________________________________________________ Company: _______________________________________________________________ Address: ________________________________________________________________ ____________________________________________________________ Telephone: ______________________________________________________________ Other Special Instructions:: __________________________________________________ _________________________________________________________________________________ Exhibit C
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Securities Delivery Instructions. Please instruct us as to where you would like the Securities delivered to at Closing: Name: _________________________________________________________ Company: ______________________________________________________ Address: :_______________________________________________________ ______________________________________________________________ Telephone: ______________________________________________________ Other Special Instructions:__________________________________________ ______________________________________________________________ Exhibit C
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Securities Delivery Instructions. Please instruct us as to where you would like the Securities delivered to at Closing: Name: _________________________________________________________ Company: ______________________________________________________ Address: ________________________________________________________ ________________________________________________________ Telephone: _______________________________________________________ Other Special Instructions:: ___________________________________________ Exhibit C OPINION OF COMPANY CORPORATE COUNSEL Exhibit D
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Samples: Securities Purchase Agreement (Alimera Sciences Inc)
Securities Delivery Instructions. Please instruct us as to where you would like the Securities delivered to at Closing: Name: ______________________________________________________ Company: ______________________________________________________ Address: ______________________________________________________ ______________________________________________________ Telephone: Other Special Instructions: ___________________________________________________________________ Other Special Instructions:__________________________________________Exhibit C
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