Representative’s Option Agreement Sample Contracts

Form of Representative’s Option Agreement

Representative’s Option Agreement • May 22nd, 2012 • CNS Response, Inc. • Services-misc health & allied services, nec • New York

• Contract Type
  Representative’s Option Agreement
• Filed
  May 22nd, 2012
• Company
  CNS Response, Inc.
• Industry
  Services-misc health & allied services, nec
• Jurisdiction
  New York

THIS PURCHASE OPTION IS NOT EXERCISABLE PRIOR TO _________2013, [DATE THAT IS ONE YEAR AFTER DATE OF PROSPECTUS]. VOID AFTER 5:00 P.M., EASTERN TIME, ______________, 2017 [DATE THAT IS FIVE YEARS AFTER DATE OF PROSPECTUS].

Form of Representative’s Option Agreement

Representative’s Option Agreement • June 20th, 2012 • CNS Response, Inc. • Services-misc health & allied services, nec • New York

• Contract Type
  Representative’s Option Agreement
• Filed
  June 20th, 2012
• Company
  CNS Response, Inc.
• Industry
  Services-misc health & allied services, nec
• Jurisdiction
  New York

THIS PURCHASE OPTION IS NOT EXERCISABLE PRIOR TO _________2013, [DATE THAT IS ONE YEAR AFTER DATE OF PROSPECTUS]. VOID AFTER 5:00 P.M., EASTERN TIME, ______________, 2017 [DATE THAT IS FIVE YEARS AFTER DATE OF PROSPECTUS].