EXHIBIT 99.1
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VOID IF NOT RECEIVED BY THE SUBSCRIPTION AGENT BEFORE 5:00 P.M.
EASTERN STANDARD TIME ON NOVEMBER 25, 1997
CUSIP NO. 020813-13-5 NUMBER OF RIGHTS: ______________
NUMBER OF RIGHTS SHARES AVAILABLE
PURSUANT TO SUBSCRIPTION PRIVILEGE: _________
ALPHARMA INC. SUBSCRIPTION
RIGHTS FOR COMMON STOCK
DEAR STOCKHOLDER:
IN ORDER TO EXERCISE YOUR RIGHTS, YOU MUST COMPLETE THE TEAR OFF CARD
BELOW.
As the registered owner of this Subscription Certificate, you are entitled to
subscribe for the number of shares of Class A Common Stock, par value $.20 per
share (the "Class A Stock") of Alpharma Inc. shown above. You may subscribe for
such shares at the Subscription Price of $16.34 per share.
(continued on reverse side)
THIS SUBSCRIPTION RIGHT IS TRANSFERABLE
_____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ ___
CUSIP NO. 020813-13-5 VOID IF NOT RECEIVED BY THE SUBSCRIPTION AGENT
BEFORE 5:00 P.M., EASTERN STANDARD TIME, ON THE
EXPIRATION DATE
Control No. _________ Rights Represented by this Subscription
Certificate _________
Account No. ________
ALPHARMA INC.
SUBSCRIPTION RIGHTS FOR CLASS A STOCK
(Complete appropriate section on reverse side of this card)
The registered owner of this Subscription Certificate, named below, or assigns,
is entitled to the number of Rights to subscribe for the Class A Stock of
Alpharma Inc. (the "Company") shown above, in the ratio of one share of Class A
Stock for each Right, pursuant to and upon the terms and conditions and at the
Subscription Price for each share of Class A Stock specified in the Prospectus
relating thereto. Stock certificates for the shares subscribed for will be
delivered as soon as practicable after full payment for the shares subscribed
for has been received and cleared. Any refund in connection with subscriptions
will be delivered as soon as practicable thereafter. The Subscription
Certificate may be transferred, in the same manner and with the same effect as
in the case of a negotiable instrument payable to specific persons, by duly
completing and signing the assignment on the reverse side hereof.
TO SUBSCRIBE, A RIGHT AND FULL PAYMENT OF THE SUBSCRIPTION PRICE ARE REQUIRED
FOR EACH SHARE OF CLASS A STOCK. SEE REVERSE SIDE FOR FORMS.
ALPHARMA INC.
By: ____________________________________________
Name: Xxxxx X. Xxxxxxxx
Title: Chairman and Chief Executive Officer
BankBoston, N.A., Subscription Agent
By: _________________________________________
If the aggregate Subscription Price paid by a Rightholder is insufficient to
purchase the aggregate number of shares subscribed for, then such Rightholder
will be deemed to have exercised the Subscription Privilege to the full extent
of the payment tendered. If the total Subscription Price paid by a Rightholder
exceeds the amount necessary to purchase the number of shares for which the
Rightholder has indicated an intention to subscribe, then the excess payment
tendered will be refunded to the Rightholder as soon as practicable thereafter.
Capitalized terms used but not defined herein have the meaning given to such
terms in the Prospectus enclosed herewith.
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Stock certificates for the shares subscribed to pursuant to the Subscription
Privilege will be delivered as soon as practicable after full payment for the
shares subscribed for has been received and cleared. Any refund in connection
with your subscription will be delivered as soon as practicable thereafter.
Full payment for the Rights Shares must accompany this form and must be made
payable in United States dollars in a check or bank draft drawn upon a U.S. bank
or postal, telegraphic or express money order and payable to BankBoston, N.A.,
as Subscription Agent. Alternatively, a Notice of Guaranteed Delivery must
accompany the exercise form.
ALPHARMA INC.
PLEASE PRINT ALL INFORMATION CLEARLY AND LEGIBLY
PLEASE FILL IN ALL APPLICABLE INFORMATION TO: BankBoston, N.A.
AND SEND BY TELEGRAM, FACSIMILE TRANSMISSION c/o Boston Equiserve, L.P.
OR MAIL 000 Xxxxxx Xxxxxx
Mail Stop 00-00-00
Xxxxxx, Xxxxxxxxxxxxx 02021
Attn: Corporate Reorganization
Telecopier: (000) 000-0000
_____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ ___
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IF YOU WISH TO SUBSCRIBE FOR YOUR FULL ENTITLEMENT OF RIGHTS SHARES OR
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A PORTION THEREOF
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I APPLY FOR _______ _________ X $16.34 = $___________________
(NO. OF NEW SHARES) (AMOUNT ENCLOSED)
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TO SUBSCRIBE: I HEREBY IRREVOCABLY SUBSCRIBE FOR THE FACE AMOUNT OF CLASS A
STOCK INDICATED ABOVE, HEREON UPON THE TERMS AND CONDITIONS SPECIFIED IN THE
PROSPECTUS RELATING THERETO, RECEIPT OF WHICH IS ACKNOWLEDGED. I HEREBY AGREE
THAT IF I FAIL TO PAY FOR THE SHARES OF CLASS A STOCK FOR WHICH I HAVE
SUBSCRIBED, THE COMPANY MAY EXERCISE ANY OF THE REMEDIES SET FORTH IN THE
PROSPECTUS.
___________________________________________________________
___________________________________________________________
SIGNATURE(S) OF SUBSCRIBER(S)
___________________________________________________________
ADDRESS FOR DELIVERY OF SHARES IF OTHER THAN SHOWN ON FRONT
IF PERMANENT CHANGE OF ADDRESS, CHECK HERE [_]
PLEASE GIVE YOUR TELEPHONE NUMBER:
( ) ]
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TO TRANSFER RIGHTS: FOR VALUE RECEIVED, _____ OF THE RIGHTS REPRESENTED BY THE
SUBSCRIPTION CERTIFICATES ARE ASSIGNED TO:
___________________________________________________________
___________
(PRINT FULL NAME OF ASSIGNEE)
___________________________________________________________
___________
(PRINT FULL ADDRESS)
____________________________________________
__________
SIGNATURE(S) OF ASSIGNOR(S)
IMPORTANT: THE SIGNATURE(S) MUST CORRESPOND IN
EVERY PARTICULAR, WITHOUT ALTERATION, WITH THE
NAME(S) AS PRINTED ON THE REVERSE OF THIS
SUBSCRIPTION CERTIFICATE.
YOUR SIGNATURE MUST BE GUARANTEED BY: (A) A COMMERCIAL BANK OR TRUST COMPANY OR
(B) A MEMBER FIRM OF A DOMESTIC STOCK EXCHANGE, (C) A SAVINGS OR CREDIT
UNION.
SIGNATURE:____________________________________
__________
(NAME OF BANK OR FIRM)
BY:_________________________________________
__________
(SIGNATURE OF OFFICER AND TITLE)
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