Exhibit 4.2
USA VIDEO INTERACTIVE CORP.
(incorporated under the laws of Wyoming)
CLASS "A" WARRANT CERTIFICATE
RIGHT TO PURCHASE ____________________ COMMON SHARES
THIS WARRANT IS NON-TRANSFERABLE
THIS IS TO CERTIFY that for value received,(Name) __________, of (Address)
__________, (City) __________,(State/ Province) __________________ (Postal/ Zip
Code) ________, is entitled to purchase __________ fully paid and non-assessable
common shares of USA Video Interactive Corp. (herein the "Company") as such
shares were constituted on __________, 2000, at any time up to the close of
business in the City of Vancouver, in the Province of British Columbia, on
___________, 200__ at and for a price of $____.__00 U.S. per common share.
Please note that the relevant share certificate(s) MUST bear the following
legend:
TRANSFER OF THESE SHARES IS RESTRICTED UNTIL ____________, 200___
This Warrant may be exercised only at the Company's office at 000, 000 Xxxx
Xxxxxxxx Xxxxxx, Xxxxxxxxx, Xxxxxxx Xxxxxxxx X0X 0X0.
IN WITNESS WHEREOF the Company has caused this Warrant to be executed effective
the _______ day of _________, 2000.
USA VIDEO INTERACTIVE CORP.
Per:_____________________________________
(c/s)
SUBSCRIPTION FORM
-----------------
TO: USA VIDEO INTERACTIVE CORP.
000, 000 Xxxx Xxxxxxxx Xxxxxx
Xxxxxxxxx, Xxxxxxx Xxxxxxxx X0X 0X0
(Name)__________, the holder of the above Class "A" Warrant, subscribes for
_______________ of the common shares of USA Video Interactive Corp. referred to
in the above Warrant according to the conditions thereof, and herewith makes
payment for the purchase price in full for the number of shares at and for a
price of $_______.__ U.S. per share. A certified cheque or bank draft is
enclosed herewith for such amount.
The undersigned hereby directs that the shares hereby subscribed for be issued
and delivered as follows:
Name in full Address Number of Shares
------------ ------- ----------------
________________________________________________________________________________
DATED this ____ day of ________________, _______.
________________________ (Name)
