Common use of Name of Holder Clause in Contracts

Name of Holder. Signature: ------------------------------- Title: ----------------------------------- Address: --------------------------------- ----------------------------------------- ----------------------------------------- Dated: , . ------------- ----- In the presence of --------------------------------- NOTICE: The signature to the foregoing Assignment Form must correspond to the name as written upon the face of the within Warrant in every detail, without alteration or enlargement or any change whatsoever.

Name of Holder. Signature: ------------------------------- -------------------------------- Title: ----------------------------------- ------------------------------------ Address: --------------------------------- ----------------------------------------- ----------------------------------------- ---------------------------------- ------------------------------------------ ------------------------------------------ Dated: , . ------------- ----- ------------------- ------- In the presence of --------------------------------- ------------------------------------ NOTICE: The signature to the foregoing Assignment Form must correspond to the name as written upon the face of the within Warrant in every detail, without alteration or enlargement or any change whatsoever.

Name of Holder. Signature: ------------------------------- ---------------------------------- Title: ----------------------------------- -------------------------------------- Address: --------------------------------- ----------------------------------------- ----------------------------------------- ------------------------------------------- ------------------------------------------- ------------------------------------------- Dated: , . ------------- ----- --------------------------- -------- In the presence of --------------------------------- ----------------------------------------- NOTICE: The signature to the foregoing Assignment Form must correspond to the name as written upon the face of the within Warrant in every detail, without alteration or enlargement or any change whatsoever.

Name of Holder. Signature: ------------------------------- ----------------------------- Title: ----------------------------------- --------------------------------- Address: --------------------------------- ----------------------------------------- ----------------------------------------- ------------------------------- --------------------------------------- --------------------------------------- Dated: , . ------------- ----- ------------------- ------- In the presence of --------------------------------- -------------------------------------------- NOTICE: The signature to the foregoing Assignment Form must correspond to the name as written upon the face of the within Warrant in every detail, without alteration or enlargement or any change whatsoever.

Name of Holder. Signature: ------------------------------- ------------------------ Title: ----------------------------------- ---------------------------- Address: --------------------------------- ----------------------------------------- ----------------------------------------- -------------------------- ----------------------------------- ----------------------------------- Dated: ____________, ____. ------------- ----- In the presence of --------------------------------- ------------------------------- NOTICE: The signature to the foregoing Assignment Form must correspond to the name as written upon the face of the within Warrant in every detail, without alteration or enlargement or any change whatsoever.

Name of Holder. Signature: ------------------------------- Title: ----------------------------------- Address: --------------------------------- ----------------------------------------- ----------------------------------------- Dated: , . ------------- ----- ------------------- ------- In the presence of --------------------------------- ---------------------------------- NOTICE: The signature to the foregoing Assignment Form must correspond to the name as written upon the face of the within Warrant in every detail, without alteration or enlargement or any change whatsoever.