Common use of To the Rights Agent Clause in Contracts

To the Rights Agent. The undersigned hereby irrevocably elects to exercise _______ Rights represented by this Right Certificate to purchase the Preferred Shares (or other shares) issuable upon the exercise of such Rights and requests that certificates for such shares be issued in the name of: Please insert social security or other identifying number -------------------------------------------------------------------------------- (Please print name and address) --------------------------------------------------------------------------------

To the Rights Agent. The undersigned hereby irrevocably elects to exercise __________ Rights represented by this Right Rights Certificate to purchase the Preferred Shares (or other shares) issuable upon the exercise of such Rights and requests that certificates for such shares be issued in the name of: Please insert social security or other identifying number -------------------------------------------------------------------------------- ------------------------------------------------------------------------------- (Please print name and address) ---------------------------------------------------------------------------------------------------------------------------------------------------------------

To the Rights Agent. The undersigned hereby irrevocably elects to exercise _______ Rights represented by this Right Certificate to purchase the Preferred Shares (or other shares) issuable upon the exercise of such Rights and requests that certificates for such shares be issued in the name of: Please insert social security or other identifying number -------------------------------------------------------------------------------- (Please print name and address) ---------------------------------------------------------------------------------------------------------------------------------------------------------------