Common use of CONVERSION NOTICE Clause in Contracts

CONVERSION NOTICE. The undersigned Holder of this Note hereby irrevocably exercises the option to convert this Note, or any portion of the principal amount hereof (which is $1,000 in principal amount or an integral multiple of $1,000), below designated, into shares of Class A common stock of Lama▇ ▇▇▇ertising Company, $0.001 par value per share (the "Common Stock"), in accordance with the terms of the Indenture referred to in this Note, and directs that such shares, together with a check in payment for any fractional share and any Notes representing any unconverted principal amount hereof, be issued and delivered to and be registered in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted are to be registered in the name of a Person other than the undersigned, (a) the undersigned will pay all transfer taxes payable with respect thereto and (b) signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Exchange Act of 1934. Dated: ------------------- ------------------------------------ ------------------------------------ Signature(s) If shares or Notes are to be registered in the name of a Person other than the Holder, please print such Person's name and address: ---------------------------------- Name ---------------------------------- Address ---------------------------------- Social Security or Other Taxpayer Identification Number ---------------------------------- [Signature Guaranteed] If only a portion of the Notes is to be converted, please indicate: 1. Principal amount to be converted: $ ------------

CONVERSION NOTICE. The undersigned Holder holder of this Note hereby irrevocably exercises the option to convert this Note, or any portion of the principal amount hereof (which is $1,000 in principal amount U.S.$1,000 or an integral multiple of U.S.$1,000 in excess thereof, PROVIDED that the unconverted portion of such principal amount is U.S. $1,000), 1,000 or any integral multiple of U.S. $1,000 in excess thereof) below designated, into shares of Class A common stock of Lama▇ ▇▇▇ertising Company, $0.001 par value per share (the "Common Stock"), Stock in accordance with the terms of the Indenture referred to in this Note, and directs that such shares, together with a check in payment for any fractional share and any Notes representing any unconverted principal amount hereof, be issued and delivered to and be registered in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted Notes are to be registered in the name of a Person other than the undersigned, (a) the undersigned will pay all transfer taxes payable with respect thereto and (b) signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Exchange Act of 1934. Any amount required to be paid by the undersigned on account of interest accompanies this Note. Dated: ------------------- ------------------------------------ ------------------------------------ _____________________ ________________________________________ ________________________________________ Signature(s) If shares or Notes are to be registered in the name of a Person other than the Holderholder, please print such Person's name and address: ---------------------------------- _______________________________ Name ---------------------------------- _______________________________ Address ---------------------------------- _______________________________ Social Security or Other Taxpayer other Identification Number ---------------------------------- [Signature Guaranteed] Number, if any If only a portion of the Notes is to be converted, please indicate: 1. Principal amount to be converted: $ ------------:

CONVERSION NOTICE. The undersigned Holder holder of this Note hereby irrevocably exercises the option to convert this Note, or any portion of the principal amount hereof (which is $1,000 in principal amount U.S.$1,000 or an integral multiple of U.S.$1,000 in excess thereof, PROVIDED that the unconverted portion of such principal amount is U.S. $1,000), 1,000 or any integral multiple of U.S. $1,000 in excess thereof) below designated, into shares of Class A common stock of Lama▇ ▇▇▇ertising Company, $0.001 par value per share (the "Common Stock"), Stock in accordance with the terms of the Indenture referred to in this Note, and directs that such shares, together with a check in payment for any fractional share and any Notes representing any unconverted principal amount hereof, be issued and delivered to and be registered in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted Notes are to be registered in the name of a Person other than the undersigned, (a) the undersigned will pay all transfer taxes payable with respect thereto and (b) signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Exchange Act of 1934. Any amount required to be paid by the undersigned on account of interest accompanies this Note. Dated: ------------------- ------------------------------------ ------------------------------------ ------------------------------- ------------------------------------- ------------------------------------- Signature(s) If shares or Notes are to be registered in the name of a Person other than the Holderholder, please print such Person's name and address: ---------------------------------- --------------------------------------- Name ---------------------------------- --------------------------------------- Address ---------------------------------- --------------------------------------- Social Security or Other Taxpayer other Identification Number ---------------------------------- [Number, if any --------------------------------------- Signature Guaranteed] Guaranteed If only a portion of the Notes is to be converted, please indicate: 1. Principal amount to be converted: $ ------------:

CONVERSION NOTICE. The undersigned Holder of this Note hereby irrevocably exercises the option to convert delivers this Note, or any portion of the principal amount hereof (which is $1,000 in principal amount or an integral multiple of $1,000), below designated, Note for conversion into shares of Class A common stock of Lama▇ ▇▇▇ertising Company, $0.001 par value per share (the "Common Stock"), Stock in accordance with the terms of the Indenture referred to in this Note, and directs that such shares, together with a check in payment for any fractional share and any Notes representing any unconverted principal amount hereof, be issued and delivered to and be registered in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted Notes are to be registered in the name of a Person other than the undersigned, (a) the undersigned will pay all applicable transfer taxes payable with respect thereto and (b) signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Exchange Act of 1934. Dated: ------------------- ------------------------------------ ------------------------------------ _________________ ______________________________________________ Signature(s)* Signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Exchange Act of 1934. ______________________________________________ Signature Guaranteed If shares or Notes are to be registered in the name of a Person other than the Holder, please print such Person's name and address: ---------------------------------- Name ---------------------------------- Address ---------------------------------- Name: ________________________________________ Address: ________________________________________ ________________________________________ ________________________________________ Social Security or Other Taxpayer other Identification Number ---------------------------------- [Signature Guaranteed] If only a portion Number, if any:________________ *NOTICE: The signature to the foregoing Election must correspond to the name as written upon the face of the Notes is to be convertedthis Note in every particular, please indicate: 1. Principal amount to be converted: $ ------------without alteration or any change whatsoever.

CONVERSION NOTICE. The undersigned Holder of this Note hereby irrevocably exercises the option to convert this Note, or any portion of the principal amount hereof (which is $1,000 in principal amount or an integral multiple of $1,000), below designated, into shares of Class A common stock of Lama▇ ▇▇▇ertising CompanyProvidian Financial Corporation, $0.001 0.01 par value per share (the "Common Stock"), in accordance with the terms of the Indenture referred to in this Note, and directs that such shares, together with a check in payment for any fractional share and any Notes representing any unconverted portion of the principal amount hereof, be issued and delivered to and be registered in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted are to be registered in the name of a Person other than the undersigned, (a) the undersigned will pay all transfer taxes payable with respect thereto and (b) signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Exchange Act of 1934. Dated: ------------------- ------------------------------------ ------------------------------------ Dated _________________ ______________________________________________ ______________________________________________ Signature(s) If shares or Notes are to be registered in the name of a Person other than the Holder, please print such Person's name and address: ---------------------------------- ____________________________________ Name ---------------------------------- ____________________________________ Address ---------------------------------- ____________________________________ Social Security or Other Taxpayer Identification Number ---------------------------------- ____________________________________ [Signature Guaranteed] If only a portion of the Notes is to be converted, please indicate: 1. Principal amount to be converted: $ ------------:

CONVERSION NOTICE. The undersigned Holder of this Note hereby irrevocably exercises the option to convert this Note, or any portion of the principal amount hereof (which is $1,000 in principal amount U.S.$1,000 or an integral multiple of U.S.$1,000 in excess thereof, provided that the unconverted portion of such principal amount is U.S. $1,000), 1,000 or any integral multiple of U.S. $1,000 in excess thereof) below designated, into shares of Class A common stock of Lama▇ ▇▇▇ertising Company, $0.001 par value per share (the "Common Stock"), Stock in accordance with the terms of the Indenture referred to in this Note, and directs that such shares, together with a check in payment for any fractional share and any Notes representing any unconverted principal amount hereof, be issued and delivered to and be registered in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted Notes are to be registered in the name of a Person other than the undersigned, (a) the undersigned will pay all transfer taxes payable with respect thereto and (b) signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Exchange Act of 1934. Any amount required to be paid by the undersigned on account of interest accompanies this Note. Dated: ------------------- ------------------------------------ ------------------------------------ ------------ ---------------------------------------------------------- Signature(s) If shares or Notes are to be registered in the name of a Person other than the Holder, please print such Person's name and address: ---------------------------------- Name ---------------------------------- Address ---------------------------------- -------------------------------- (Name) -------------------------------- -------------------------------- (Address) -------------------------------- Social Security or Other Taxpayer other Identification Number ---------------------------------- Number, if any -------------------------------- [Signature Guaranteed] If only a portion of the Notes is to be converted, please indicate: 1. Principal amount to be converted: $ ------------:

CONVERSION NOTICE. The undersigned Holder of this Note Security hereby irrevocably exercises the option to convert this NoteSecurity, or any portion of the principal amount hereof (which is $1,000 in principal amount or an integral multiple of $1,000), U.S.$1,000) below designated, into shares of Class A common stock Common Stock of Lama▇ ▇▇▇ertising Company, $0.001 par value per share (the "Common Stock"), Company in accordance with the terms of the Indenture 31 39 referred to in this NoteSecurity, and directs that such shares, together with a check in payment for any fractional share shares and any Notes Securities representing any unconverted principal amount hereof, be issued and delivered to and be registered in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted Securities are to be registered in the name of a Person other than the undersigned, (a) the undersigned will pay all transfer taxes payable with respect thereto and (b) signature(s) must thereto. Any amount required to be guaranteed paid by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Exchange Act undersigned on account of 1934interest accompanies this Security. Dated: ------------------- ------------------------------------ ------------------------------------ Dated:--------------------- --------------------------- --------------------------- Signature(s) If shares or Notes Securities are to be If only a portion of the Security is registered in the name of a Person to be converted, please indicate: other than the Holder, please print such Person's name and address: ---------------------------------- Name ---------------------------------- Address ---------------------------------- Social Security or Other Taxpayer Identification Number ---------------------------------- [Signature Guaranteed] If only a portion of the Notes is to be converted, please indicate: 1. Principal amount to be converted: $ ------------U.S.$ ----------------------------- ---------------------------- Name ----------------------------- Address ----------------------------- Social Security or other Taxpayer Identification Number, if any Signature(s) must be guaranteed by a commercial bank or trust company or a member firm of a major stock exchange with membership in an approved signature guarantee medallion program pursuant to the Securities and Exchange Commission Rule 17Ad-15 if shares of Common Stock are to be issued, or

CONVERSION NOTICE. The undersigned Holder of this Note Security hereby irrevocably exercises the option to convert this NoteSecurity, or any portion of the aggregate principal amount hereof (which is $1,000 in principal amount U.S.$1,000 or an integral multiple of $1,000)U.S.$1,000 in excess thereof, provided that the unconverted portion of such aggregate principal amount is U.S.$1,000 or any integral multiple of U.S.$1,000 in excess thereof) below designated, into shares of Class A common stock of Lama▇ ▇▇▇ertising Company, $0.001 par value per share (the "Common Stock"), Stock in accordance with the terms of the Indenture referred to in this NoteSecurity, and directs that such shares, together with a check in payment for any fractional share and any Notes Securities representing any unconverted aggregate principal amount hereof, be issued and delivered to and be registered in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted Securities are to be registered in the name of a Person other than the undersigned, (a) the undersigned will pay all transfer taxes payable with respect thereto and (b) signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Exchange Act of 1934. Any amount required to be paid by the undersigned on account of interest accompanies this Security. Dated: ------------------- ------------------------------------ ------------------------------------ _______________________________ _______________________________ Signature(s) If shares or Notes Securities are to be registered in the name of a Person other than the Holder, please print such Person's name and address: ---------------------------------- Name ---------------------------------- Address ---------------------------------- _______________________________ (Name) _______________________________ _______________________________ (Address) _______________________________ Social Security or Other Taxpayer other Identification Number ---------------------------------- Number, if any _______________________________ [Signature Guaranteed] If only a portion of the Notes Securities is to be converted, please indicate: 1. Principal amount to be converted: $ ------------:

CONVERSION NOTICE. The undersigned Holder of this Note hereby irrevocably exercises the option to convert this Note, or any portion of the principal amount hereof (which is $1,000 in principal amount or an integral multiple of $1,000), below designated, into shares of Class A common stock of Lama▇ ▇▇▇ertising ▇▇ Advertising Company, $0.001 par value per share (the "Common Stock"), in accordance with the terms of the Indenture referred to in this Note, and directs that such shares, together with a check in payment for any fractional share and any Notes representing any unconverted principal amount hereof, be issued and delivered to and be registered in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted are to be registered in the name of a Person other than the undersigned, (a) the undersigned will pay all transfer taxes payable with respect thereto and (b) signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Exchange Act of 1934. Dated: ------------------- ------------------------------------ ------------------------------------ :_________________ ________________________________ ________________________________ Signature(s) If shares or Notes are to be registered in the name of a Person other than the Holder, please print such Person's name and address: ---------------------------------- ________________________________ Name ---------------------------------- ________________________________ Address ---------------------------------- ________________________________ Social Security or Other Taxpayer Identification Number ---------------------------------- ________________________________ [Signature Guaranteed] If only a portion of the Notes is to be converted, please indicate: 1. Principal amount to be converted: $ ------------:

CONVERSION NOTICE. The undersigned Holder of this Note hereby irrevocably exercises the option to convert this Note, or any portion of the principal amount hereof (which is $1,000 in principal amount or an integral multiple of $1,000), below designated, into shares of Class A common stock of Lama▇ ▇▇▇ertising Company, $0.001 par value per share (the "Common Stock"), in accordance with the terms of the Indenture referred to in this Note, and directs that such shares, together with a check in payment for any fractional share and any Notes representing any unconverted principal amount hereof, be issued and delivered to and be registered in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted are to be registered in the name of a Person other than the undersigned, (a) the undersigned will pay all transfer taxes payable with respect thereto and (b) signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Exchange Act of 1934. Dated: ------------------- ------------------------------------ ------------------------------------ Dated --------------- -------------------------------- -------------------------------- Signature(s) If shares or Notes are to be registered in the name of a Person other than the Holder, please print such Person's name and address: ---------------------------------- Name ---------------------------------- Address ---------------------------------- Social Security or Other Taxpayer Identification Number ---------------------------------- [Signature Guaranteed] If only a portion of the Notes is to be converted, please indicate: 1. Principal amount to be converted: $ ------------:

CONVERSION NOTICE. The undersigned Holder of this Note Security hereby irrevocably exercises the option to convert this NoteSecurity, or any portion of the aggregate principal amount hereof (which is $1,000 in principal amount U.S.$1,000 or an integral multiple of $1,000)U.S.$1,000 in excess thereof, provided that the unconverted portion of such aggregate principal amount is U.S.$1,000 or any integral multiple of U.S.$1,000 in excess thereof) below designated, into shares of Class A common stock of Lama▇ ▇▇▇ertising Company, $0.001 par value per share (the "Common Stock"), Stock in accordance with the terms of the Indenture referred to in this NoteSecurity, and directs that such shares, together with a check in payment for any fractional share and any Notes Securities representing any unconverted aggregate principal amount hereof, be issued and delivered to and be registered in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted Securities are to be registered in the name of a Person other than the undersigned, (a) the undersigned will pay all transfer taxes payable with respect thereto and (b) signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Exchange Act of 1934. Any amount required to be paid by the undersigned on account of interest accompanies this Security. Dated: ------------------- ------------------------------------ ------------------------------------ :______________________________ _______________________________ Signature(s) If shares or Notes Securities are to be registered in the name of a Person other than the Holder, please print such Person's name and address: ---------------------------------- Name ---------------------------------- Address ---------------------------------- ___________________________________ (Name) ___________________________________ ____________________________________________ (Address) ____________________________________________ Social Security or Other Taxpayer other Identification Number ---------------------------------- Number, if any ____________________________________________ [Signature Guaranteed] If only a portion of the Notes Securities is to be converted, please indicate: 1. Principal amount to be converted: $ ------------:

CONVERSION NOTICE. If (i) Registered Security or (ii) Bearer Security of denomination U.S. $10,000: The undersigned Holder holder of this Note Security hereby irrevocably exercises the option to convert this NoteSecurity, or any portion of the principal amount hereof (which is U.S. $1,000 in principal amount or an integral multiple of $1,000), thereof) below designated, into shares of Class A common stock Common Stock of Lama▇ ▇▇▇ertising Company, $0.001 par value per share ThermoLase Corporation (the "Common StockCompany"), ) in accordance with the terms of the Indenture referred to in this NoteSecurity, and (ii) directs that such shares, together with a check in payment for any fractional share and any Notes Securities representing any unconverted principal amount hereof, be issued and delivered to and be registered (if a Registered Security) in the name of the undersigned unless a different name has been indicated below. If shares or Securities are to be registered in the name of Common Stock a person other than the undersigned, the undersigned will pay all transfer taxes payable with respect thereto. Signature [MUST BE GUARANTEED IF STOCK IS TO BE ISSUED IN A NAME OTHER THAN THE REGISTERED HOLDER OF THE SECURITY] Dated: _________________ If shares or any portion of this Note not converted Securities are to be registered in the name of a Person other than the undersigned, (a) the undersigned will pay all transfer taxes payable with respect thereto and (b) signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Exchange Act of 1934. Dated: ------------------- ------------------------------------ ------------------------------------ Signature(s) If shares or Notes are to be registered in the name of a Person other than the Holderholder, please print such Personperson's name and addressaddress and, if this is a Restricted Security, complete Transfer Notice: ---------------------------------- Name ---------------------------------- Address ---------------------------------- Social Security or Other Taxpayer Identification Number ---------------------------------- [Signature Guaranteed] ___________________________ ___________________________ ___________________________ HOLDER Please print name and address of holder: ___________________________ ___________________________ ___________________________ If only a portion of the Notes Securities is to be converted, please indicate: 1. Principal amount to be converted: $ ------------:

CONVERSION NOTICE. If (i) Registered Security or (ii) Bearer Security of denomination U.S. $10,000: The undersigned Holder holder of this Note Security hereby irrevocably exercises the option to convert this NoteSecurity, or any portion of the principal amount hereof (which is U.S. $1,000 in principal amount or an integral multiple of $1,000), thereof) below designated, into shares of Class A common stock Common Stock of Lama▇ ▇▇▇ertising Company, $0.001 par value per share Thermo Fibertek Inc. (the "Common StockCompany"), ) in accordance with the terms of the Indenture referred to in this NoteSecurity, and (ii) directs that such shares, together with a check in payment for any fractional share and any Notes Securities representing any unconverted principal amount hereof, be issued and delivered to and be registered (if a Registered Security) in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted Securities are to be registered in the name of a Person person other than the undersigned, (a) the undersigned will pay all transfer taxes payable with respect thereto and (b) signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Exchange Act of 1934thereto. Dated: ------------------- ------------------------------------ ------------------------------------ Signature(s) ___________________________ __________________________________ Signature [MUST BE GUARANTEED IF STOCK IS TO BE ISSUED IN A NAME OTHER THAN THE REGISTERED HOLDER OF THE SECURITY] If shares or Notes are to be registered in the name of and delivered to a Person person other than the Holderholder, please print such Personperson's name and addressaddress and, if this is a Restricted Security, complete the Transfer Notice: ---------------------------------- Name ---------------------------------- Address ---------------------------------- Social Security or Other Taxpayer Identification Number ---------------------------------- [Signature Guaranteed] ________________________________ ________________________________ ________________________________ HOLDER Please print name and address of holder: ________________________________ ________________________________ ________________________________ If only a portion of the Notes Securities is to be converted, please indicate: 1. Principal amount to be converted: $ ------------:

CONVERSION NOTICE. The undersigned Holder of this Note Security hereby irrevocably exercises the option to convert this NoteSecurity, or any portion of the principal amount hereof (which is $1,000 in principal amount or an integral multiple of $1,000)U.S.$1,000, PROVIDED that the unconverted portion of such principal amount is U.S.$1,000 or any integral multiple thereof, and that the date of exercise of this conversion is on or after 90 days from the date of the Indenture, dated July 31, 1997) below designated, into shares of Class A common stock Common Stock of Lama▇ ▇▇▇ertising Company, $0.001 par value per share (the "Common Stock"), Issuer in accordance with the terms of the Indenture referred to in this NoteSecurity, and directs that such shares, together with a check in payment for any fractional share shares and any Notes Securities representing any unconverted principal amount hereof, be issued and delivered to and be registered in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted Securities are to be registered in the name of a Person other than the undersigned, (a) the undersigned will pay all transfer taxes payable with respect thereto and (b) signature(s) must thereto. Any amount required to be guaranteed paid by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Exchange Act undersigned on account of 1934interest accompanies this Security. Dated: ------------------- ------------------------------------ ------------------------------------ Signature(s) --------------------- If shares or Notes Securities are to be registered in the name of a Person other than the Holder, please print such Person's name and address: ---------------------------------- --------------------------- Name ---------------------------------- --------------------------- Address ---------------------------------- --------------------------- Social Security or Other other Taxpayer Identification Number ---------------------------------- [Signature Guaranteed] Number, if any --------------------------- --------------------------- *Signature(s) If only a portion of the Notes Security is to be converted, please indicate: 1. Principal amount to be converted: $ ------------:

CONVERSION NOTICE. To: IOMEGA CORPORATION The undersigned Holder registered owner of this Note hereby irrevocably exercises the option to convert this Note, or any the portion of the principal amount hereof (which is $1,000 in principal amount or an integral multiple of $1,000), thereof) below designated, into shares of Class A common stock Common Stock of Lama▇ ▇▇▇ertising Company, $0.001 par value per share (the "Common Stock"), Iomega Corporation in accordance with the terms of the Indenture referred to in this Note, and directs that the shares issuable and deliverable upon such sharesconversion, together with a any check in payment for any fractional share shares and any Notes representing any unconverted principal amount hereof, be issued and delivered to and be the registered in the name of the undersigned holder hereof unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted are to be registered issued in the name of a Person person other than the undersigned, (a) the undersigned will check the appropriate box below and pay all transfer taxes payable with respect thereto and (bthereto. Any amount required to be paid to the undersigned on account of interest accompanies this Note. Dated: ________________________ _______________________________________ _______________________________________ Signature(s) signature(sSignature(s) must be guaranteed by an Eligible eligible Guarantor Institution (banks, stock brokers, savings and loan associations and credit unions) with membership in an approved signature guarantee medallion program pursuant to Securities and Exchange Commission Rule 17Ad-15 under the Securities Exchange Act if shares of 1934. Dated: ------------------- ------------------------------------ ------------------------------------ Signature(s) If shares or Notes Common Stock are to be registered issued, or Notes to be delivered, other than to and in the name of a Person the registered holder. Fill in for registration of shares of Common Stock if to be issued, and Notes if to be delivered, other than to and in the Holdername of the registered holder: _______________________________ (Name) _______________________________ (▇▇▇▇▇▇ ▇▇▇▇▇▇▇) _______________________________ (City, please State and Zip Code) Please print such Person's name and address: ---------------------------------- Name ---------------------------------- Address ---------------------------------- address Principal amount to be converted (if less than all): $_____________ __________________________________ Social Security or Other Taxpayer Identification Number ---------------------------------- [Signature Guaranteed] If only a portion of the Notes is to be converted, please indicate: 1. Principal amount to be converted: $ ------------Number

CONVERSION NOTICE. The undersigned Holder of this Note Security hereby irrevocably exercises the option to convert this NoteSecurity, or any portion of the principal amount hereof (which is $1,000 in principal amount or an integral multiple of $1,000), U.S.$1,000) below designated, into shares of Class A common stock Common Stock of Lama▇ ▇▇▇ertising Company, $0.001 par value per share (the "Common Stock"), Company in accordance with the terms of the Indenture referred to in this NoteSecurity, and directs that such shares, together with a check in payment for any fractional share shares and any Notes Securities representing any unconverted principal amount hereof, be issued and delivered to and be registered in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted Securities are to be registered in the name of a Person other than the undersigned, (a) the undersigned will pay all transfer taxes payable with respect thereto and (b) signature(s) must thereto. Any amount required to be guaranteed paid by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Exchange Act undersigned on account of 1934interest accompanies this Security. Dated: ------------------- ------------------------------------ ------------------------------------ ___________________ _________________________________________ _________________________________________ Signature(s) If shares or Notes Securities are to be registered If only a portion of the Security is to be in the name of a Person other than the converted, please indicate: Holder, please print such Person's name and address: ---------------------------------- Name ---------------------------------- Address ---------------------------------- Social Security or Other Taxpayer Identification Number ---------------------------------- [Signature Guaranteed] If only a portion of the Notes is to be converted, please indicate: 1. Principal amount to be converted: $ ------------------------------------------------------- U.S.$____________________ Name ___________________________________________ Address ___________________________________________ Social Security or other Taxpayer Identification Number, if any Signature(s) must be guaranteed by a commercial bank or trust company or a member firm of a major stock exchange with membership in an approved signature guarantee medallion program pursuant to the Securities and Exchange Commission Rule 17Ad-15 if shares of Common Stock are to be issued, or Securities to be delivered, other than to or in the name of the registered Holder._______________________. Signature Guaranteed

CONVERSION NOTICE. The undersigned Holder of this Note Security hereby irrevocably exercises the option to convert this NoteSecurity, or any portion of the principal amount hereof (which is $1,000 in principal amount or an integral multiple of U.S. $1,000 provided that the unconverted portion of such principal amount is an integral multiple of U.S. $1,000), ) below designated, into shares of Class A common stock of Lama▇ ▇▇▇ertising Company, $0.001 par value per share (the "Common Stock"), Stock in accordance with the terms of the Indenture referred to in this NoteSecurity, and directs that such shares, together with a check in payment for any fractional share and any Notes Securities representing any unconverted principal amount hereof, be issued and delivered to and be registered in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted Securities are to be registered in the name of a Person other than the undersigned, (a) the undersigned will pay all transfer taxes payable with respect thereto and (b) signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Exchange Act of 1934. Any amount required to be paid by the undersigned on account of interest accompanies this Security. Dated: ------------------- ------------------------------------ ------------------------------------ :__________________ ________________________ Signature(s) If shares or Notes Securities are to be registered in the name of a Person other than the Holder, please print such Person's name and address: ---------------------------------- Name ---------------------------------- Address ---------------------------------- _______________________ (Name) _______________________ _______________________ (Address) Social Security or Other Taxpayer other Identification Number ---------------------------------- Number, if any _______________________ [Signature Guaranteed] If only a portion of the Notes Securities is to be converted, please indicate: 1. Principal amount to be converted: $ ------------:

CONVERSION NOTICE. The undersigned Holder of this Note Security hereby irrevocably exercises the option to convert this NoteSecurity, or any portion of the principal amount hereof (which is $1,000 in principal amount U.S.$1,000 or an integral multiple of U.S.$1,000 in excess thereof, provided that the unconverted portion of such principal amount is U.S. $1,000), 1,000 or any integral multiple of U.S. $1,000 in excess thereof) below designated, into shares of Class A common stock of Lama▇ ▇▇▇ertising Company, $0.001 par value per share (the "Common Stock"), Stock in accordance with the terms of the Indenture referred to in this NoteSecurity, and directs that such shares, together with a check in payment for any fractional share and any Notes Securities representing any unconverted principal amount hereof, be issued and delivered to and be registered in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted Securities are to be registered in the name of a Person other than the undersigned, (a) the undersigned will pay all transfer taxes payable with respect thereto and (b) signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Exchange Act of 1934. Any amount required to be paid by the undersigned on account of interest accompanies this Security. Dated: ------------------- ------------------------------------ ------------------------------------ :___________ ______________________________________________________ Signature(s) If shares or Notes Securities are to be registered in the name of a Person other than the Holder, please print such Person's name and address: ---------------------------------- Name ---------------------------------- Address ---------------------------------- __________________________________________ (Name) __________________________________________ __________________________________________ (Address) __________________________________________ Social Security or Other Taxpayer other Identification Number ---------------------------------- [Number, if any __________________________________________ Signature Guaranteed] Guaranteed If only a portion of the Notes Securities is to be converted, please indicate: 1. Principal amount to be converted: $ ------------:

CONVERSION NOTICE. The undersigned Holder of this Note hereby irrevocably exercises the option to convert this Note, or any portion of the principal amount hereof (which is $1,000 in principal amount U.S.$1,000 or an integral multiple of U.S.$1,000 in excess thereof, PROVIDED that the unconverted portion of such principal amount is U.S. $1,000), 1,000 or any integral multiple of U.S. $1,000 in excess thereof) below designated, into shares of Class A common stock of Lama▇ ▇▇▇ertising Company, $0.001 par value per share (the "Common Stock"), Stock in accordance with the terms of the Indenture referred to in this Note, and directs that such shares, together with a check in payment for any fractional share and any Notes representing any unconverted principal amount hereof, be issued and delivered to and be registered in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted Notes are to be registered in the name of a Person other than the undersigned, (a) the undersigned will pay all transfer taxes payable with respect thereto and (b) signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Exchange Act of 1934. Any amount required to be paid by the undersigned on account of interest accompanies this Note. Dated: ------------------- ------------------------------------ ------------------------------------ :______________________________ -------------------------------- -------------------------------- Signature(s) If shares or Notes are to be registered in the name of a Person other than the Holder, please print such Person's name and address: ---------------------------------- ------------------------------- Name ---------------------------------- ------------------------------- Address ---------------------------------- ------------------------------- Social Security or Other Taxpayer other Identification Number ---------------------------------- Number, if any ------------------------------- [Signature Guaranteed] If only a portion of the Notes is to be converted, please indicate: : 1. Principal amount to be converted: U.S. $ ----------------------- 2. Principal amount and denomination of Notes representing unconverted principal amount to be issued: Amount U.S. $ ----------- (U.S.$1,000 or any integral multiple of U.S.$1,000 in excess thereof, provided that the unconverted portion of such principal amount is U.S. $1,000 or any integral multiple of U.S. $1,000 in excess thereof)

CONVERSION NOTICE. The undersigned Holder of this Note Security hereby irrevocably exercises the option to convert this NoteSecurity, or any portion of the principal amount hereof (which is U.S. $1,000 in principal amount or an integral multiple of U.S. $1,000)1,000 in excess thereof, provided that the unconverted portion of such principal amount is U.S. $1,000 or any integral multiple of U.S. $1,000 in excess thereof) below designated, into shares of Class A common stock of Lama▇ ▇▇▇ertising Company, $0.001 par value per share (the "Common Stock"), Stock in accordance with the terms of the Indenture referred to in this NoteSecurity, and directs that such shares, together with a check in payment for any fractional share and any Notes Securities representing any unconverted principal amount hereof, be issued and delivered to and be registered in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted Securities are to be registered in the name of a Person other than the undersigned, (a) the undersigned will pay all transfer taxes payable with respect thereto and (b) signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Exchange Act of 1934. Any amount required to be paid by the undersigned on account of interest accompanies this Security. Dated: ------------------- ------------------------------------ ------------------------------------ _____________________ ______________________________________________ Signature(s) If shares or Notes Securities are to be registered in the name of a Person other than the Holder, please print such Person's name and address: ---------------------------------- Name ---------------------------------- Address ---------------------------------- _______________________________________ (Name) ____________________________________________ (Address) ____________________________________________ Social Security or Other Taxpayer other Identification Number ---------------------------------- Number, if any Signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad - 15 under the Securities Exchange Act of 1934. ____________________________________________ [Signature Guaranteed] If only a portion of the Notes Securities is to be converted, please indicate: 1. Principal amount to be converted: $ ------------:

CONVERSION NOTICE. The undersigned Holder of this Note Security hereby irrevocably exercises the option to convert this NoteSecurity, or any portion of the principal amount hereof (which is U.S. $1,000 in principal amount or an integral multiple of U.S. $1,000)1,000 in excess thereof, provided that the unconverted portion of such principal amount is U.S. $1,000 or any integral multiple of U.S. $1,000 in excess thereof) below designated, into shares of Class A common stock of Lama▇ ▇▇▇ertising Company, $0.001 par value per share (the "Common Stock"), Stock in accordance with the terms of the Indenture referred to in this NoteSecurity, and directs that such shares, together with a check in payment for any fractional share and any Notes Securities representing any unconverted principal amount hereof, be issued and delivered to and be registered in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted Securities are to be registered in the name of a Person other than the undersigned, (a) the undersigned will pay all transfer taxes payable with respect thereto and (b) signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Exchange Act of 1934. Any amount required to be paid by the undersigned on account of interest accompanies this Security. Dated: ------------------- ------------------------------------ ------------------------------------ ------------- --------------------------- Signature(s) If shares or Notes Securities are to be registered in the name of a Person other than the Holder, please print such Person's name and address: ---------------------------------- Name ---------------------------------- Address ---------------------------------- -------------------------- (Name) -------------------------- -------------------------- (Address) -------------------------- Social Security or Other Taxpayer other Identification Number ---------------------------------- Number, if any -------------------------- [Signature Guaranteed] If only a portion of the Notes Securities is to be converted, please indicate: 1. Principal amount to be converted: $ ------------:

CONVERSION NOTICE. The undersigned Holder of this Note Security hereby irrevocably exercises the option to convert this NoteSecurity, or any portion of the principal amount hereof (which is $1,000 in principal amount U.S.$1,000 or an integral multiple of U.S.$1,000 in excess thereof, provided that the unconverted portion of such principal amount is U.S. $1,000), 1,000 or any integral multiple of U.S. $1,000 in excess thereof) below designated, into shares of Class A common stock of Lama▇ ▇▇▇ertising Company, $0.001 par value per share (the "Common Stock"), Stock in accordance with the terms of the Indenture referred to in this NoteSecurity, and directs that such shares, together with a check in payment for any fractional share and any Notes Securities representing any unconverted principal amount hereof, be issued and delivered to and be registered in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted Securities are to be registered in the name of a Person other than the undersigned, (a) the undersigned will pay all transfer taxes payable with respect thereto and (b) signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Exchange Act of 1934. Any amount required to be paid by the undersigned on account of interest accompanies this Security. Dated: ------------------- ------------------------------------ ------------------------------------ :____________ ______________________________________________ Signature(s) If shares or Notes Securities are to be registered in the name of a Person other than the Holder, please print such Person's name and address: ---------------------------------- Name ---------------------------------- Address ---------------------------------- ____________________________________________ (Name) ____________________________________________ ____________________________________________ (Address) ____________________________________________ Social Security or Other Taxpayer other Identification Number ---------------------------------- Number, if any Signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad - 15 under the Securities Exchange Act of 1934. ____________________________________________ [Signature Guaranteed] If only a portion of the Notes Securities is to be converted, please indicate: 1. Principal amount to be converted: $ ------------:

CONVERSION NOTICE. The undersigned Holder of this Note hereby irrevocably exercises the option to convert this Note, or any portion of the principal amount hereof (which is $1,000 in principal amount U.S.$1,000 or an integral multiple of U.S.$1,000 in excess thereof, PROVIDED that the unconverted portion of such principal amount is U.S. $1,000), 1,000 or any integral multiple of U.S. $1,000 in excess thereof) below designated, into shares of Class A common stock of Lama▇ ▇▇▇ertising Company, $0.001 par value per share (the "Common Stock"), Stock in accordance with the terms of the Indenture referred to in this Note, and directs that such shares, together with a check in payment for any fractional share and any Notes representing any unconverted principal amount hereof, be issued and delivered to and be registered in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted Notes are to be registered in the name of a Person other than the undersigned, (a) the undersigned will pay all transfer taxes payable with respect thereto and (b) signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Exchange Act of 1934. Any amount required to be paid by the undersigned on account of interest accompanies this Note. Dated: ------------------- ------------------------------------ ------------------------------------ :______________________________ -------------------------------- -------------------------------- Signature(s) If shares or Notes are to be registered in the name of a Person other than the Holder, please print such Person's name and address: ---------------------------------- ------------------------------- Name ---------------------------------- ------------------------------- Address ---------------------------------- ------------------------------- Social Security or Other Taxpayer other Identification Number ---------------------------------- [Number, if any ------------------------------- Signature Guaranteed] Guaranteed If only a portion of the Notes is to be converted, please indicate: : 1. Principal amount to be converted: U.S. $ ----------------------- 2. Principal amount and denomination of Notes representing unconverted principal amount to be issued: Amount U.S. $ ----------- (U.S.$1,000 or any integral multiple of U.S.$1,000 in excess thereof, provided that the unconverted portion of such principal amount is U.S. $1,000 or any integral multiple of U.S. $1,000 in excess thereof)

CONVERSION NOTICE. The undersigned Holder of this Note hereby irrevocably exercises the option to convert this Note, or any portion of the principal amount Principal Amount hereof (which is $1,000 in principal amount U.S.$1,000 or an integral multiple of $1,000)U.S.$1,000 in excess thereof, provided that the unconverted portion of such Principal Amount is U.S.$1,000 or any integral multiple of U.S.$1,000 in excess thereof) below designated, into shares of Class A common stock of Lama▇ ▇▇▇ertising Company, $0.001 par value per share (the "Common Stock"), Stock in accordance with the terms of the Indenture referred to in this Note, and directs that such shares, together with a check in payment for any fractional share share, any other amounts payable to the Holder in connection with such conversion and any Notes representing any unconverted principal amount Principal Amount hereof, be issued and delivered to and be registered in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted Notes are to be registered in the name of a Person other than the undersigned, (a) the undersigned will pay all transfer taxes payable with respect thereto and (b) signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Notes Exchange Act of 1934. Any amount required to be paid by the undersigned on account of interest accompanies this Note. Dated: ------------------- ------------------------------------ ------------------------------------ Signature(s) If shares or Notes are to be registered in the name of a Person other than the Holder, please print such Person's ’s name and address: ---------------------------------- Name ---------------------------------- Address ---------------------------------- ____________________________________________________________ ____________________________________________________________ (Address) ____________________________________________________________ Social Security or Other Taxpayer other Identification Number ---------------------------------- [Number, if any ____________________________________________________________ (Signature Guaranteed] ) If only a portion of the Notes is to be converted, please indicate: 1. Principal amount to be converted: $ ------------:

CONVERSION NOTICE. The undersigned Holder of this Note hereby irrevocably exercises the option to convert this Note, or any portion of the principal amount Original Principal Amount hereof (which is $1,000 in principal amount U.S.$1,000 or an integral multiple of U.S.$1,000 in excess thereof, provided that the unconverted portion of such Original Principal Amount is U.S. $1,000), 1,000 or any integral multiple of U.S. $1,000 in excess thereof) below designated, into shares of Class A common stock of Lama▇ ▇▇▇ertising Company, $0.001 par value per share (the "Common Stock"), Stock in accordance with the terms of the Indenture referred to in this Note, and directs that such shares, together with a check in payment for any fractional share share, any other amounts payable to the Holder in connection with such conversion and any Notes representing any unconverted principal amount Original Principal Amount hereof, be issued and delivered to and be registered in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted Notes are to be registered in the name of a Person other than the undersigned, (a) the undersigned will pay all transfer taxes payable with respect thereto and (b) signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Notes Exchange Act of 1934. Any amount required to be paid by the undersigned on account of interest accompanies this Note. Dated: ------------------- ------------------------------------ ------------------------------------ :______________________ _______________________________________ Signature(s) If shares or Notes are to be registered in the name of a Person other than the Holder, please print such Person's name and address: ---------------------------------- __________________________________________________ Name ---------------------------------- Address ---------------------------------- __________________________________________________ (Address) __________________________________________________ Social Security or Other Taxpayer other Identification Number ---------------------------------- [Number, if any __________________________________________________ (Signature Guaranteed] ) If only a portion of the Notes is to be converted, please indicate: 1. Principal amount to be converted: $ ------------:

CONVERSION NOTICE. The undersigned Holder of this Note hereby irrevocably exercises the option to convert this Note, or any portion of the principal amount hereof (which is $1,000 in principal amount U.S.$1,000 or an integral multiple of U.S.$1,000 in excess thereof, provided that the unconverted portion of such principal amount is U.S. $1,000), 1,000 or any integral multiple of U.S. $1,000 in excess thereof) below designated, into shares of Class A common stock of Lama▇ ▇▇▇ertising Company, $0.001 par value per share (the "Common Stock"), Stock in accordance with the terms of the Indenture referred to in this Note, and directs that such shares, together with a check in payment for any fractional share and any Notes representing any unconverted principal amount hereof, be issued and delivered to and be registered in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted Notes are to be registered in the name of a Person other than the undersigned, (a) the undersigned will pay all transfer taxes payable with respect thereto and (b) signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Exchange Act of 1934. Any amount required to be paid by the undersigned on account of interest accompanies this Note. Dated: ------------------- ------------------------------------ ------------------------------------ _________________________________________________________________________ Signature(s) If shares or Notes are to be registered in the name of a Person other than the Holder, please print such Person's name and address: ---------------------------------- Name ---------------------------------- Address ---------------------------------- ______________________________________________ (Name) ______________________________________________ ______________________________________________ (Address) ______________________________________________ Social Security or Other Taxpayer other Identification Number ---------------------------------- Number, if any ______________________________________________ [Signature Guaranteed] If only a portion of the Notes is to be converted, please indicate: 1. Principal amount to be converted: $ ------------:

CONVERSION NOTICE. The undersigned Holder of this Note hereby irrevocably exercises the option to convert this Note, or any portion of the principal amount hereof (which is $1,000 in principal amount or an integral multiple of $1,000), below designated, into shares of Class A common stock of Lama▇ ▇▇▇ertising ▇▇ Advertising Company, $0.001 par value per share (the "Common Stock"), in accordance with the terms of the Indenture referred to in this Note, and directs that such shares, together with a check in payment for any fractional share and any Notes representing any unconverted principal amount hereof, be issued and delivered to and be registered in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted are to be registered in the name of a Person other than the undersigned, (a) the undersigned will pay all transfer taxes payable with respect thereto and (b) signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Exchange Act of 1934. Dated: ------------------- ------------------------------------ ------------------------------------ ___________________________ _________________________________ _________________________________ Signature(s) If shares or Notes are to be registered in the name of a Person other than the Holder, please print such Person's name and address: ---------------------------------- _________________________________ Name ---------------------------------- _________________________________ Address ---------------------------------- _________________________________ Social Security or Other Taxpayer Identification Number ---------------------------------- _________________________________ [Signature Guaranteed] If only a portion of the Notes is to be converted, please indicate: 1. Principal amount to be converted: $ ------------:

CONVERSION NOTICE. The undersigned Holder of this Note Security hereby irrevocably exercises the option to convert this NoteSecurity, or any portion of the principal amount hereof (which is $1,000 in principal amount U.S.$1,000 or an integral multiple of U.S.$1,000 in excess thereof, provided that the unconverted portion of such principal amount is U.S. $1,000), 1,000 or any integral multiple of U.S. $1,000 in excess thereof) below designated, into shares of Class A common stock of Lama▇ ▇▇▇ertising Company, $0.001 par value per share (the "Common Stock"), Stock in accordance with the terms of the Indenture referred to in this NoteSecurity, and directs that such shares, together with a check in payment for any fractional share and any Notes Securities representing any unconverted principal amount hereof, be issued and delivered to and be registered in the name of the undersigned unless a different name has been indicated below. If shares of Common Stock or any portion of this Note not converted Securities are to be registered in the name of a Person other than the undersigned, (a) the undersigned will pay all transfer taxes payable with respect thereto and (b) signature(s) must be guaranteed by an Eligible Guarantor Institution with membership in an approved signature guarantee program pursuant to Rule 17Ad-15 under the Securities Exchange Act of 1934. Any amount required to be paid by the undersigned on account of interest accompanies this Security. Dated: ------------------- ------------------------------------ ------------------------------------ :____________ ______________________________________________________ Signature(s) If shares or Notes Securities are to be registered in the name of a Person other than the Holder, please print such Person's name and address: ---------------------------------- Name ---------------------------------- Address ---------------------------------- ___________________________________ (Name) ___________________________________ ___________________________________ (Address) ___________________________________ Social Security or Other Taxpayer other Identification Number ---------------------------------- Number, if any ___________________________________ [Signature Guaranteed] If only a portion of the Notes Securities is to be converted, please indicate: 1. Principal amount to be converted: $ ------------: