Common use of Form of Election Clause in Contracts

Form of Election. (To be executed if the registered holder desires to exercise Rights represented by the Right Certificate.) To: ADT Limited The undersigned hereby irrevocably elects to exercise ____________ Rights represented by this Right Certificate to subscribe for Series A First Preference Shares issuable upon the exercise of the Rights (or such other securities of the Company or of any other person which may be issuable upon the exercise of the Rights) and requests that such securities be issued in the name of and certificates for such securities be delivered to: Please insert social security or other identifying number (if any) __________________________________________________________ (Please print name and address) ___________________________________________________________ If such number of Rights shall not be all the Rights evidenced by this Right Certificate, the undersigned requests that a new Right Certificate for the balance of such Rights be issued in the name of and delivered to: Please insert social security or other identifying number (if any) ___________________________________________________________ (Please print name and address) ___________________________________________________________ Dated: ________________, 19__ ___________________________ Signature Signature Guaranteed:

Appears in 2 contracts

Samples: Rights Agreement (Adt Limited), Rights Agreement (Adt Limited)

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Form of Election. (To be executed if the registered holder desires to exercise Rights represented by the Right Certificate.) To: ADT Limited The undersigned hereby irrevocably elects to exercise ____________ Rights represented by this Right Certificate to subscribe for Series A First Preference Shares issuable upon the exercise of the Rights (or such other securities of the Company or of any other person which may be issuable upon the exercise of the Rights) and requests that such securities be issued in the name of and certificates for such securities be delivered to: Please insert social security or other identifying number (if any) ______________________________________________________________________________ (Please print name and address) ______________________________________________________________________________ If such number of Rights shall not be all the Rights evidenced by this Right Certificate, the undersigned requests that a new Right Certificate for the balance of such Rights be issued in the name of and delivered to: Please insert social security or other identifying number (if any) ______________________________________________________________________________ (Please print name and address) ______________________________________________________________________________ Dated: ________________, 19__ ___________________________ Signature Signature Guaranteed: Certificate The undersigned hereby certifies by checking the appropriate boxes that:

Appears in 1 contract

Samples: Rights Agreement (Adt Limited)

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Form of Election. TO PURCHASE (To be executed if the registered holder desires to exercise Rights represented by the Right Rights Certificate.) To: ADT Limited DSP GROUP, INC. The undersigned hereby irrevocably elects to exercise ____________________ Rights represented by this Right Rights Certificate to subscribe for Series A First Preference Shares purchase the Units of Preferred Stock issuable upon the exercise of the Rights (or such other securities of the Company or of any other person or other property which may be issuable upon the exercise of the Rights) and requests that certificates for such securities Units be issued in the name of and certificates for such securities be delivered to: __________________________________ ________________________________________________________________________ (Please print name and address) _______________________________ (Please insert social security or other identifying number). If such number (if any) of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: __________________________________________________________ (Please print name and address) ___________________________________________________________ If such number of Rights shall not be all the Rights evidenced by this Right Certificate, the undersigned requests that a new Right Certificate for the balance of such Rights be issued in the name of and delivered to: (Please insert social security or other identifying number (if any) ___________________________________________________________ (Please print name and address) ___________________________________________________________ Dated: ________________number). Dated , 19__ ___________________________ 199 ------------------- --- --------------------------------- Signature Signature Guaranteed: CERTIFICATE The undersigned hereby certifies by checking the appropriate boxes in (1) and (2) that:

Appears in 1 contract

Samples: Rights Agreement (DSP Group Inc /De/)

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