Common use of Countersigned Clause in Contracts

Countersigned. By ------------------------------ Name: Title: [Form of Reverse Side of Rights Certificate] FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Rights Certificate.) FOR VALUE RECEIVED ___________________________________________________ hereby sells, assigns, and transfers to ___________________________________ ____________________________________________________________________________ (Please print name and address of transferee) ____________________________________________________________________________ this Rights Certificate, together with all right, title, and interest therein, and does hereby irrevocably constitute and appoint _____________________ as attorney, to transfer the within Rights Certificate on the books of ▇▇▇▇▇-▇▇▇▇▇▇▇▇▇▇.▇▇▇, corp., with full power of substitution. Dated: _____________, _____ ___________________________ (Signature) Medallion Signature Guaranty: ------------------------------------------------------------------------------- Assignment Certification The undersigned hereby certifies by checking the appropriate boxes that:

Countersigned. By ------------------------------ NameBy: Title: -------------------------------- Authorized Signature A-3 [Form of Reverse Side of Rights Right Certificate] FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Rights Right Certificate.) FOR VALUE RECEIVED __________________________________ hereby sells, assigns and transfers unto __________________ hereby sells, assigns, and transfers to ___________________________________ _______________________________________________________________________________ (Please print name and address of transferee) this Right Certificate, together with all right, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ Attorney to transfer the within Right Certificate on the books of the within-named Corporation, with full power of substitution. Dated: _________________, __________ _________________________________ this Rights Certificate, together with all right, title, and interest therein, and does hereby irrevocably constitute and appoint _____________________ as attorney, to transfer the within Rights Certificate on the books of ▇▇▇▇▇-▇▇▇▇▇▇▇▇▇▇.▇▇▇, corp., with full power of substitution. Dated: _____________, _____ ___________________________ (Signature) Medallion Signature Guaranty: ------------------------------------------------------------------------------- Assignment Certification The undersigned hereby certifies by checking the appropriate boxes thatSignature Guaranteed:

Countersigned. By ------------------------------ NameBy: Title: [---------------------------------- Authorized Signature 48 Form of Reverse Side of Rights Certificate] Right Certificate FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Rights Right Certificate.) FOR VALUE RECEIVED ____________________________________RECEIVED, _______________ hereby sells, assigns, assigns and transfers to ___________________________________ ____________________unto________________________________________________________ (Please print name and address of transferee) ____________________________________________________________________________ ------------------------------------------------------------------------------ this Rights Right Certificate, together with all right, title, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ as attorneyAttorney, to transfer the within Rights Right Certificate on the books of ▇▇▇▇▇the within-▇▇▇▇▇▇▇▇▇▇.▇▇▇, corp.named Company, with full power of substitution. Dated: _____________-----------, _____ ___________________________ (Signature) Medallion ---- ------------------------------------ Signature GuarantySignature Guaranteed: ------------------------------------------------------------------------------- Assignment Certification The undersigned hereby certifies by checking the appropriate boxes that:49

Countersigned. By ------------------------------ NameBy: Title: ---------------------- Authorized Signature A-3 [Form of Reverse Side of Rights Right Certificate] FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Rights Right Certificate.) FOR VALUE RECEIVED ______________________________ hereby sells, assigns and transfers unto ______________________ hereby sells, assigns, and transfers to ___________________________________ ________________. ____________________________________________________________ (Please print name and address of transferee) ____________________________________________________________________________ this Rights Right Certificate, together with all right, title, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ as attorney, Attorney to transfer the within Rights Right Certificate on the books of ▇▇▇▇▇the within-▇▇▇▇▇▇▇▇▇▇.▇▇▇, corp.named Corporation, with full power of substitution. Dated: _____________, _____ ___________________________ (Signature) Medallion 19 ------------ -- ------------------------------ Signature Guaranty: ------------------------------------------------------------------------------- Assignment Certification The undersigned hereby certifies by checking the appropriate boxes thatSignature Guaranteed:

Countersigned. By ------------------------------ Name: Title: ------------------------------------ Authorized Officer -B-4- [Form of Reverse Side of Rights Certificate] FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Rights Certificate.) FOR VALUE RECEIVED ___________________________________________________ hereby sells, assigns, assigns and transfers to ___________________________________ _______________________________unto _____________________________________________ (Please print name and address of transferee) ____________________________________________________________________________ this Rights Certificate, together with all right, title, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ as attorneyAttorney, to transfer the within Rights Certificate on the books of ▇▇▇▇▇the within-▇▇▇▇▇▇▇▇▇▇.▇▇▇, corp.named Company, with full power of substitution. Dated: _____________, _____ _________________________, 19__ (Signature) Medallion -------------------------------------- Signature GuarantySignature Guaranteed: ------------------------------------------------------------------------------- Assignment Certification Certificate The undersigned hereby certifies by checking the appropriate boxes that:

Countersigned. By [ ] -------------------------- By: ------------------------------ Name: Title: Authorized Signature [Form of Reverse Side of Rights Certificate] FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Rights Certificate.) FOR VALUE RECEIVED __________________________________________ hereby sells, assigns and transfers unto __________ hereby sells, assigns, and transfers to ___________________________________ ____________________________________________________________________________ (Please print name and address of transferee) this Rights Certificate, together will all right, title and interest therein, and does hereby irrevocably constitute and appoint ________________________________ Attorney, to transfer the within Rights Certificate on the books of the within-named Company, with full power of substitution. Dated: _____________________, 19__ ____________________________________ this Rights Certificate, together with all right, title, and interest therein, and does hereby irrevocably constitute and appoint _____________________ as attorney, to transfer the within Rights Certificate on the books of ▇▇▇▇▇-▇▇▇▇▇▇▇▇▇▇.▇▇▇, corp., with full power of substitution. Dated: _____________, _____ ___________________________ (Signature) Medallion Signature Guaranty: ------------------------------------------------------------------------------- Assignment Certification The undersigned hereby certifies by checking the appropriate boxes thatSignature Guaranteed:

Countersigned. By ------------------------------ NameBy: Title: [---------------------------- Authorized Signature B-4 63 Form of Reverse Side of Rights Certificate] Right Certificate FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Rights Right Certificate.) FOR VALUE RECEIVED ___________________________________________________ RECEIVED, hereby sells, assigns, assigns and transfers to ___________________________________ ____________________________________________________________________________ --------------- unto ---------------------------------------------------------------------------- -------------------------------------------------------------------------------- (Please print name and address of transferee) ____________________________________________________________________________ -------------------------------------------------------------------------------- this Rights Right Certificate, together with all right, title, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ as attorneyAttorney, --------------- to transfer the within Rights Right Certificate on the books of ▇▇▇▇▇the within-▇▇▇▇▇▇▇▇▇▇.▇▇▇, corp.named Company, with full power of substitution. Dated: _____________------------, _____ ___________________________ (Signature) Medallion ---- ------------------------------------ Signature GuarantySignature Guaranteed: ------------------------------------------------------------------------------- Assignment Certification CERTIFICATE The undersigned hereby certifies by checking the appropriate boxes that:

Countersigned. By ------------------------------ By: ---------------------------------- Name: Title: [Form of Reverse Side of Rights Certificate] FORM OF ASSIGNMENT ------------------ (To be executed by the registered holder if such holder desires to transfer the Rights Certificate.) FOR VALUE RECEIVED ___________________________________________________ RECEIVED, the undersigned hereby sells, assigns, assigns and transfers to ___________________________________ ____________________________________________________________________________ unto -------------------------------------------------------------- -------------------------------------------------------------- (Please print name and address of transferee) ____________________________________________________________________________ -------------------------------------------------------------- this Rights Certificate, together with all right, title, title and interest therein, therein and does hereby irrevocably constitute and appoint _____________________ as attorneyAttorney, to transfer the within Rights Certificate on the books of ▇▇▇▇▇the within-▇▇▇▇▇▇▇▇▇▇.▇▇▇, corp.named Company, with full power of substitution. Dated: _____________, _____ ___________________________ (Signature) Medallion ------------------------ -------------------------------------------- Signature GuarantySignature Guaranteed: ------------------------------------------------------------------------------- Assignment Certification Certificate ----------- The undersigned hereby certifies by checking the appropriate boxes that:

Countersigned. By ------------------------------ NameBy: Title: [--------------------------- Authorized Signature 45 Form of Reverse Side of Rights Certificate] Right Certificate FORM OF ASSIGNMENT ------------------ (To be executed by the registered holder if such holder desires to transfer the Rights Right Certificate.) FOR VALUE RECEIVED ____________________________________RECEIVED, _______________ hereby sells, assigns, assigns and transfers to ___________________________________ ____________________________________________________________________________ unto -------------------------------------------------------------------------------- (Please print name and address of transferee) ____________________________________________________________________________ ------------------------------------------------------------------------------- this Rights Right Certificate, together with all right, title, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ as attorneyAttorney, to transfer the within Rights Right Certificate on the books of ▇▇▇▇▇the within-▇▇▇▇▇▇▇▇▇▇.▇▇▇, corp.named Company, with full power of substitution. Dated: _____________, _____ ___________________________ (Signature) Medallion -------------------------- Signature Guaranty: ------------------------------------------------------------------------------- Assignment Certification The undersigned hereby certifies by checking the appropriate boxes thatSignature Guaranteed:

Countersigned. By ------------------------------ Name: Title: ---------------------------------- Authorized Signature 42 [Form of Reverse Side of Rights Certificate] FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Rights Certificate.) FOR VALUE RECEIVED ___________________________________________________ hereby sells, assigns, assigns and transfers to ___________________________________ __________________________unto __________________________________________________ (Please print name and address of transferee) this Rights Certificate, together with all right, title and interest therein, and does hereby irrevocably constitute and appoint ____________________________, Attorney, to transfer the within Rights Certificate on the books of the within-named Company, with full power of substitution. Dated: __________________________. ________________________________________ this Rights Certificate, together with all right, title, and interest therein, and does hereby irrevocably constitute and appoint _____________________ as attorney, to transfer the within Rights Signature Signature Guaranteed: Certificate on the books of ▇▇▇▇▇-▇▇▇▇▇▇▇▇▇▇.▇▇▇, corp., with full power of substitution. Dated: _____________, _____ ___________________________ (Signature) Medallion Signature Guaranty: ------------------------------------------------------------------------------- Assignment Certification The undersigned hereby certifies by checking the appropriate boxes that:

Countersigned. as Rights Agent By ------------------------------ Name: Title: -------------------------------- Authorized Signature A-4 38 [Form of Reverse Side of Rights Certificate] FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Rights Certificate.) FOR VALUE RECEIVED ___________________________________________________ hereby sells, assigns, assigns and transfers to ___________________________________ ____________________________________________________________________________ unto --------------------------------------------------------------- (Please print name and address of transferee) ____________________________________________________________________________ this Rights Certificate, together with all right, title, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ as attorneyAttorney, to transfer the within Rights Certificate on the books of ▇▇▇▇▇the within-▇▇▇▇▇▇▇▇▇▇.▇▇▇, corp.named Company, with full power of substitution. Dated: _____________, _____ ___________________________ (Signature) Medallion ---------------------- ----- ---------------------------------- Signature Guaranty: ------------------------------------------------------------------------------- Assignment Certification The undersigned hereby certifies by checking the appropriate boxes thatSignature Guaranteed:

Countersigned. By ------------------------------ Name: Title[--------------------------], as Rights Agent --------------------------- Authorized Signatory Date of countersignature: [Form of Reverse Side of Rights Right Certificate] FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Rights Right Certificate.) FOR VALUE RECEIVED ___________________________________________________ hereby sells, assigns, assigns and transfers to ___________________________________ ________________________________________unto ____________________________________ (Please print name and address of transferee) ____________________________________________________________________________ this Rights Right Certificate, together with all right, title, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ as attorneyAttorney, to transfer the within Rights Right Certificate on the books of ▇▇▇▇▇the within-▇▇▇▇▇▇▇▇▇▇.▇▇▇, corp.named Company, with full power of substitution. Dated: _____________, _____ ___________________________ (Signature) Medallion ------------------- ---- ----------------------------- Signature GuarantySignature Guaranteed: ------------------------------------------------------------------------------- Assignment Certification -------------- CERTIFICATE The undersigned hereby certifies by checking the appropriate boxes that:

Countersigned. By ------------------------------ Name: Title: By____________________ Authorized Officer [Form of Reverse Side of Rights Certificate] FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Rights Certificate.) FOR VALUE RECEIVED ___________________________________________________ hereby sells, assigns, assigns and transfers to ___________________________________ ____________________________________________________________________________ unto --------------------------------------------- ------------------------------------------------------------------------- (Please print name and address of transferee) ____________________________________________________________________________ ------------------------------------------------------------------------ this Rights Certificate, together with all right, title, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ as attorneyAttorney, to transfer the within Rights Certificate on the books of ▇▇▇▇▇the within-▇▇▇▇▇▇▇▇▇▇.▇▇▇, corp.named Company, with full power of substitution. Dated: ______________ ___, _____ ___________________________ (Signature) Medallion ----------------------- Signature GuarantySignature Guaranteed: ------------------------------------------------------------------------------- Assignment Certification Certificate The undersigned hereby certifies by checking the appropriate boxes that:

Countersigned. By ------------------------------ NameBy: Title: [---------------------------- Authorized Signature 47 Form of Reverse Side of Rights Certificate] Right Certificate FORM OF ASSIGNMENT ------------------ (To be executed by the registered holder if such holder desires to transfer the Rights Right Certificate.) FOR VALUE RECEIVED ____________________________________RECEIVED, _______________ hereby sells, assigns, assigns and transfers to unto ___________________________________ ____________________________________________________________________________ (Please print name and address of transferee) ________________________________________________________________________________ this Rights Right Certificate, together with all right, title, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ as attorneyAttorney, to transfer the within Rights Right Certificate on the books of ▇▇▇▇▇the within-▇▇▇▇▇▇▇▇▇▇.▇▇▇, corp.named Company, with full power of substitution. Dated: _____________, _____ _________________________________ (Signature) Medallion Signature GuarantySignature Guaranteed: ------------------------------------------------------------------------------- Assignment Certification CERTIFICATE ----------- The undersigned hereby certifies by checking the appropriate boxes that:

Countersigned. By By: ------------------------------ Name: Title: [Authorized Signature B-3 48 Form of Reverse Side of Rights Certificate] Right Certificate FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Rights Right Certificate.) FOR VALUE RECEIVED ____________________________________RECEIVED, _______________ hereby sells, assigns, assigns and transfers to ___________________________________ ____________________________________________________________________________ unto -------------------------------------------------------------------------------- (Please print name and address of transferee) ____________________________________________________________________________ -------------------------------------------------------------------------------- this Rights Right Certificate, together with all right, title, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ as attorneyAttorney, to transfer the within Rights Right Certificate on the books of ▇▇▇▇▇the within-▇▇▇▇▇▇▇▇▇▇.▇▇▇, corp.named Company, with full power of substitution. Dated: _____________, _____ ___________________________ (Signature) Medallion --------------------------- Signature GuarantySignature Guaranteed: ------------------------------------------------------------------------------- Assignment Certification CERTIFICATE The undersigned hereby certifies by checking the appropriate boxes that:

Countersigned. By ------------------------------ Name: Title: ----------------------------- Authorized Signature [Form of Reverse Side of Rights Right Certificate] FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Rights CertificateRight Certificates.) FOR VALUE RECEIVED ___________________________________________________ hereby sells, assigns, assigns and transfers to unto _______________________________________ ________________________________________________________________________________ (Please print name and address of transferee) ________________________________________________________________________________ Rights evidenced by this Rights Right Certificate, together with all right, title, title and interest therein, and does hereby irrevocably constitute and appoint ________________________ as attorney, Attorney to transfer the within Rights Right Certificate on the books of ▇▇▇▇▇the within-▇▇▇▇▇▇▇▇▇▇.▇▇▇, corp.named Corporation, with full power of substitution. Dated: ____________ ___, _____ ______________________________________ (Signature) Medallion Signature Guaranty: ------------------------------------------------------------------------------- Assignment Certification The undersigned hereby certifies by checking the appropriate boxes that:4

Countersigned. By ------------------------------ Name: Title: --------------------------------- Authorized Signature [Form of Reverse Side of Rights Right Certificate] FORM OF ASSIGNMENT ------------------ (To be executed by the registered holder if such holder desires to transfer the Rights CertificateRight Certificates.) FOR VALUE RECEIVED ___________________________________________________ hereby sells, assigns, assigns and transfers to ___________________________________ ______________________________________unto ______________________________________ -------------------------------------------------------------------------------- (Please print name and address of transferee) ____________________________________________________________________________ -------------------------------------------------------------------------------- Rights evidenced by this Rights Right Certificate, together with all right, title, title and interest therein, and does hereby irrevocably constitute and appoint ________________________ as attorney, Attorney to transfer the within Rights Right Certificate on the books of ▇▇▇▇▇the within-▇▇▇▇▇▇▇▇▇▇.▇▇▇, corp.named Corporation, with full power of substitution. Dated: ____________ ___, _____ ___________________________ (Signature) Medallion ----------------------------- Signature Guaranty: ------------------------------------------------------------------------------- Assignment Certification The undersigned hereby certifies by checking the appropriate boxes thatSignature Guaranteed:

Countersigned. By ------------------------------ Name: Title[ ], ---------------------------- as Rights Agent ------------------------------------- Authorized Signatory Date of countersignature: [Form of Reverse Side of Rights Right Certificate] FORM OF ASSIGNMENT ------------------ (To be executed by the registered holder if such holder desires to transfer the Rights Right Certificate.) FOR VALUE RECEIVED ___________________________________________________ hereby sells, assigns, assigns and transfers to ___________________________________ __________________________________________________unto __________________________ (Please print name and address of transferee) ____________________________________________________________________________ this Rights Right Certificate, together with all right, title, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ as attorneyAttorney, to transfer the within Rights Right Certificate on the books of ▇▇▇▇▇the within-▇▇▇▇▇▇▇▇▇▇.▇▇▇, corp.named Company, with full power of substitution. Dated: _____________, _____ ___________________________ (Signature) Medallion ---------------- -------------------------------------------- Signature GuarantySignature Guaranteed: ------------------------------------------------------------------------------- Assignment Certification ----------------------------- CERTIFICATE ----------- The undersigned hereby certifies by checking the appropriate boxes that:

Countersigned. By ------------------------------ Name: Title[---------------------------------], as Rights Agent ---------------------------------- Authorized Signatory Date of countersignature: [Form of Reverse Side of Rights Right Certificate] FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Rights Right Certificate.) FOR VALUE RECEIVED ___________________________________________________ hereby sells, assigns, assigns and transfers to ___________________________________ ________________________________________unto ____________________________________ (Please print name and address of transferee) ____________________________________ this Right Certificate, together with all right, title and interest therein, and does hereby irrevocably constitute and appoint ___________________ Attorney, to transfer the within Right Certificate on the books of the within-named Company, with full power of substitution. Dated:_______,___ ______________________________ this Rights Certificate, together with all right, title, and interest therein, and does hereby irrevocably constitute and appoint Signature Signature Guaranteed:_____________________ as attorney, to transfer the within Rights Certificate on the books of ▇▇▇▇▇-▇▇▇▇▇▇▇▇▇▇.▇▇▇, corp., with full power of substitution. Dated: _____________, _____ ___________________________ (Signature) Medallion Signature Guaranty: ------------------------------------------------------------------------------- Assignment Certification The undersigned hereby certifies by checking the appropriate boxes that:

Countersigned. By ------------------------------ Name: Title: --------------------- 44 [Form of Reverse Side of Rights Right Certificate] FORM OF ASSIGNMENT Form of Assignment ------------------ (To be executed by the registered holder if such the holder desires to transfer the Rights Right Certificate.) FOR VALUE RECEIVED ___________________________ hereby sells, assigns and transfers unto _________________________ hereby sells, assigns, and transfers to ___________________________________ ____________________________________________________________________________ ---------------------------------------------------------------------- (Please print name and address of transferee) ____________________________________________________________________________ this Rights Right Certificate, together with all right, title, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ as attorney, to transfer the within Rights Right Certificate on the books of ▇▇▇▇▇-▇▇▇▇▇▇▇▇▇▇.▇▇▇, corp.the STERIS Corporation, with full power of substitution. Dated: _____________, _____ ___________________________ (Signature) Medallion 19 ------------------ --- -------------------------------- Signature GuarantySignature Guaranteed: ------------------------------------------------------------------------------- Assignment Certification Certificate ----------- The undersigned hereby certifies by checking the appropriate boxes that:

Countersigned. By ------------------------------ Name: Title: ----------------------------- [Form of Reverse Side of Rights Right Certificate] FORM OF ASSIGNMENT (To be executed by the registered holder if such the holder desires to transfer the Rights Certificate.Right certificate) FOR VALUE RECEIVED ______________________________ hereby sells, assigns, and transfers unto ___________________________________________________ hereby sells, assigns, and transfers to ___________________________________ ________________________________________________________________________________ (Please print name and address of transferee) ____________________________________________________________________________ this Rights Right Certificate, together with all right, title, and interest therein, and does hereby irrevocably constitute and appoint _____________________ as attorney, to transfer the within Rights Right Certificate on the books of ▇▇▇▇▇-▇▇▇▇▇▇▇▇▇▇.▇▇▇, corp.Nordson Corporation, with full power of substitution. Dated: :_____________, _____________ ___________________________________ Signature Signature Guaranteed: CERTIFICATE (SignatureApplicable to Form of Assignment) Medallion Signature Guaranty: ------------------------------------------------------------------------------- Assignment Certification The undersigned hereby certifies by checking the appropriate boxes that:

Countersigned. By ------------------------------ Name: Title[ ], ----------------------------------- as Rights Agent ----------------------------------- Authorized Signatory Date of countersignature: [Form of Reverse Side of Rights Right Certificate] FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Rights Right Certificate.) FOR VALUE RECEIVED ___________________________________________________ hereby sells, assigns, assigns and transfers to ___________________________________ ________________________________________unto ____________________________________ (Please print name and address of transferee) ____________________________________________________________________________ this Rights Right Certificate, together with all right, title, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ as attorneyAttorney, to transfer the within Rights Right Certificate on the books of ▇▇▇▇▇the within-▇▇▇▇▇▇▇▇▇▇.▇▇▇, corp.named Company, with full power of substitution. Dated: _____________, _____ ___________________________ (Signature) Medallion ------------------ -- ------------------------------ Signature GuarantySignature Guaranteed: ------------------------------------------------------------------------------- Assignment Certification ------------------------- CERTIFICATE The undersigned hereby certifies by checking the appropriate boxes that:

Countersigned. By ------------------------------ Name: Title: -------------------------------- Authorized Signature [Form of Reverse Side of Rights Certificate] ) FORM OF ASSIGNMENT ------------------ (To be executed by the registered holder if such holder desires to transfer the Rights Certificate.) FOR VALUE RECEIVED ____________________________________________________________ hereby sells, assigns, assigns and transfers to unto_______________________________________ _______________________________________________________________________________ (Please print name and address of transferee) _______________________________________________________________________________ this Rights Certificate, together with all right, title, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ as attorneyAttorney, to transfer the within Rights Certificate on the books of ▇▇▇▇▇the within-▇▇▇▇▇▇▇▇▇▇.▇▇▇, corp.named Company, with full power of substitution. Dated: _______________, _____ __________________________________ (Signature) Medallion Signature GuarantySignature Guaranteed: ------------------------------------------------------------------------------- Assignment Certification Certificate ----------- The undersigned hereby certifies by checking the appropriate boxes that: