FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the attached Warrant.) FOR VALUE RECEIVED, __________________________ hereby sells, assigns, and transfers unto __________________ a Warrant to purchase...Warrant Assignment • December 23rd, 1999 • Sterling Vision Inc • Retail-retail stores, nec
Contract Type FiledDecember 23rd, 1999 Company IndustryFOR VALUE RECEIVED, __________________________ hereby sells, assigns, and transfers unto __________________ a Warrant to purchase __________ shares of Common Stock, $.01 par value per share, of Sterling Vision, Inc. (the "Company"), together with all right, title, and interest therein, and does hereby irrevocably constitute and appoint ____________ attorney to transfer such Warrant on the books of the Company, with full power of substitution.