To the Rights Agent. The undersigned hereby irrevocably elects to exercise _________________ Rights represented by this Right Certificate to purchase the Preferred Shares, Common Shares or other securities issuable upon the exercise of such Rights and requests that certificates for such Preferred Shares, Common Shares or other securities be issued in the name of: Please insert social security or other identifying number ________________________________________________ _______________________________________________________________________________ (Please print name and address) _______________________________________________________________________________ If such number of Rights shall not be all the Rights evidenced by this Right Certificate, a new Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Please insert social security or other identifying number ________________________________________________ _______________________________________________________________________________ (Please print name and address) _______________________________________________________________________________ 56 63 Form of Reverse Side of Right Certificate -- continued Dated: _______________, ____ __________________________ Signature Signature Guaranteed:
Appears in 2 contracts
Samples: Rights Agreement (Cabot Microelectronics Corp), Rights Agreement (Cabot Microelectronics Corp)
To the Rights Agent. The undersigned hereby irrevocably elects to exercise _________________ Rights represented by this Right Certificate to purchase the Preferred SharesUnits, Common Shares Partnership Units or other securities issuable upon the exercise of such Rights and requests that certificates for such Preferred SharesUnits, Common Shares Partnership Units or other securities be issued in the name of: Please insert social security or other identifying number ___________________________________________________ ________________________________________________________________________________ (Please print name and address) ________________________________________________________________________________ If such number of Rights shall not be all the Rights evidenced by this Right Certificate, a new Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Please insert social security or other identifying number ________________________________________________ ________________________________________________________________________________ (Please print name and address) ________________________________________________________________________________ 56 63 B-6 Form of Reverse Side of Right Certificate -- continued -------------------------------------------------------------------------------- Dated: _______________, ____ __________________________ ------------------------------- Signature Signature Guaranteed:
Appears in 1 contract
Samples: Rights Agreement (Reckson Operating Partnership Lp)
To the Rights Agent. The undersigned hereby irrevocably elects to exercise __________________ Rights represented by this Right Certificate to purchase the shares of Preferred SharesStock, Common Shares Stock or other securities issuable upon the exercise of such Rights and requests that certificates for such shares of Preferred SharesStock, Common Shares Stock or other securities be issued in the name of: Please insert social security or other identifying number ________________________________________________ _______________________________________________________________________________ (Please print name and address) ________________________________________________________Please insert social security or other identifying number_______________________ If such number of Rights shall not be all the Rights evidenced by this Right Certificate, a new Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Please insert social security or other identifying number ________________________________________________ _______________________________________________________________________________ (Please print name and address) Please insert social security or other identifying number ______________________ Dated: __________________, ____ _____________________________________ 56 63 Signature Form of Reverse Side of Right Certificate -- continued Dated: _______________, ____ __________________________ Signature Signature Guaranteed:continued.
Appears in 1 contract
To the Rights Agent. The undersigned hereby irrevocably elects to exercise __________________ Rights represented by this Right Certificate to purchase the shares of Preferred SharesStock, Common Shares Stock or other securities issuable upon the exercise of such Rights and requests that certificates for such shares of Preferred SharesStock, Common Shares Stock or other securities be issued in the name of: Please insert social security or other identifying number ____________________ ________________________________________________________________________________ (Please print name and address) If such number of Rights shall not be all the Rights evidenced by this Right Certificate, a new Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Please insert social security or other identifying number _____________________ ________________________________________________________________________________ (Please print name and address) Dated: _______________________________________________________________________________ If such number of Rights shall not be all the Rights evidenced by this Right Certificate, a new Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Please insert social security or other identifying number ________________________________________________ _______________________________________________________________________________ (Please print name and address) _______________________________________________________________________________ 56 63 Signature Form of Reverse Side of Right Certificate -- continued Dated: _______________, ____ __________________________ Signature Signature Guaranteed:continued.
Appears in 1 contract
Samples: Rights Agreement (Chromatics Color Sciences International Inc)