Common use of INSTRUCTIONS FOR REGISTRATION OF STOCK Clause in Contracts

INSTRUCTIONS FOR REGISTRATION OF STOCK. Name (Please typewrite or print in block letters) Address Signature WARRANT EXCHANGE The undersigned, pursuant to the Warrant Exchange provisions of the foregoing Warrant, hereby elects to exchange its Warrant for shares of Common Stock. Date: Print Name Address Signature ASSIGNMENT FORM FOR VALUE RECEIVED, hereby sells, assigns and transfers unto Name (Please typewrite or print in block letters) Address the right to purchase Common Stock represented by this Warrant to the extent of shares as to which such right is exercisable and does hereby irrevocably constitute and appoint Attorney, to transfer the same on the books of the Company with full power of substitution in the premises. Date

INSTRUCTIONS FOR REGISTRATION OF STOCK. Name (Please typewrite or print in block letters) Address Signature WARRANT EXCHANGE The undersigned, pursuant to the Warrant Exchange provisions of the foregoing Warrant, hereby elects to exchange its Warrant for shares of Common Stock. Date: Print Name Address Signature ASSIGNMENT FORM FOR VALUE RECEIVED, hereby sells, assigns and transfers unto Name (Please typewrite or print in block letters) Address the right to purchase Common Stock represented by this Warrant to the extent of shares as to which such right is exercisable and does hereby irrevocably constitute and appoint Attorney, to transfer the same on the books of the Company with full power of substitution in the premises. DateDate Signature