EXHIBIT 99.3
[FORM OF AGREEMENT]
[date]
Menlo Acquisition Corporation
000 Xxxxx Xxxx
Xxxxxxxxxx, Xxx Xxxxxx 00000
Dear Sirs:
In consideration for the payment to the undersigned of the sum of $_______, the
undersigned hereby:
(a) transfers to Menlo Acquisition Corporation (the "Company") a total
of [_____] shares of the Company's Common Stock by delivering to the
Company one or more stock certificates representing such shares, duly
endorsed for transfer; and
(b) warrants and represents to the Company that:
(1) the undersigned owns such shares, and is transferring such
shares, free and clear of all liens, claims, encumbrances, pledges and
restrictions whatsoever;
(2) the undersigned has full authority to effect such transfer;
and
(3) the undersigned is not subject to any agreement, contract,
instrument or obligation which, in any way, restricts the
undersigned's ability to transfer such shares to the Company in the
manner contemplated hereby.
Very truly yours,
Signature:________________
Print Name:_______________