ALLIQUA BIOMEDICAL, INC. AND ____________, AS WARRANT AGENT FORM OF WARRANT AGREEMENT DATED AS OF , 20__Warrant Agreement • August 5th, 2014 • Alliqua BioMedical, Inc. • Surgical & medical instruments & apparatus • New York
THIS WARRANT AGREEMENT (this “Agreement”), dated as of , 20__, between Alliqua BioMedical, Inc., a Delaware corporation (the “Company”) and __________, a [corporation] [national banking association] organized and existing under the laws of __________ and having a corporate trust office in __________, as warrant agent (the “Warrant Agent”).
