ISSUE TO. (NAME OF HOLD▇▇) ------------------------------------------------------------------------------- (ADDRESS, INCLUDING ZIP CODE) DELIVER TO: ------------------------------------------------------------------------------- (NAME OF HOLD▇▇) ------------------------------------------------------------------------------- (ADDRESS, INCLUDING ZIP CODE) Dated: _____________________ [NAME OF HOLD▇▇] By ------------------------- Name: Title: __________________, as transfer agent and registrar of the Common Stock, is hereby authorized and directed to issue the above number of shares of Common Stock in the name of the above referenced entity or person and to deliver the certificates representing such shares using an overnight delivery service.
Appears in 1 contract
Sources: Common Stock Purchase Warrant (Applied Digital Solutions Inc)
ISSUE TO. (NAME OF HOLD▇▇HOLDER) ------------------------------------------------------------------------------- -------------------------------------------------------------------------------- (ADDRESS, INCLUDING ZIP CODE) DELIVER TO: ------------------------------------------------------------------------------- -------------------------------------------------------------------- (NAME OF HOLD▇▇HOLDER) ------------------------------------------------------------------------------- -------------------------------------------------------------------------------- (ADDRESS, INCLUDING ZIP CODE) Dated: _____________________ [NAME OF HOLD▇▇HOLDER] -------------- By ------------------------- Name: Title: __________________, as transfer agent and registrar of the Common Stock, is hereby authorized and directed to issue the above number of shares of Common Stock in the name of the above referenced entity or person and to deliver the certificates representing such shares using an overnight delivery service.
Appears in 1 contract
Sources: Warrant Agreement (Starbase Corp)