Purchase Form definition

Purchase Form means the form attached hereto as Exhibit "A".

Purchase Form. Dated _________ 19____ The undersigned hereby irrevocably elects to exercise the Warrant to the extent of purchasing __________ shares of Common Stock and hereby makes payment of $ in payment of the actual exercise price thereof.

Purchase Form means the form of Share purchase in use at the time of purchase as found on the Ministry's website;

Examples of Purchase Form in a sentence

• This Warrant may be exercised by presentation and surrender hereof to the Company at its principal office, or at the office of its stock transfer agent, if any, with the Purchase Form annexed hereto duly executed and accompanied by payment of the Exercise Price for the number of Warrant Shares specified in such form.

• This Warrant may be exercised by presentation and surrender hereof to the Company at its principal office with the Purchase Form annexed hereto duly executed and accompanied by payment of the Exercise Price for the number of Warrant Shares specified in such form.

• The undersigned understands that reliance by the Company on exemptions under the Securities Act is predicated in part upon the truth and accuracy of the statements of the undersigned in this Purchase Form.

• If your Tender to Purchase (Form 7) includes any additional terms or conditions, it will be rejected.

• All rejected tenders together with the tenderer’s deposit will be returned by registered mail, along with an explanation as to the reason for its rejection to the mailing address provided on the Tender to Purchase Form submitted by the tenderer.

More Definitions of Purchase Form

Purchase Form shall have the meaning set forth in Section 2.2.

Purchase Form has the meaning set out in clause 4.1.4;

Purchase Form. Dated:__________, ____ Prior to Call Date The undersigned hereby irrevocably elects to exercise the within Warrant to the extent of purchasing _____ Units and hereby makes payment of $_____________ in payment of the exercise price thereof. After the Call Date The undersigned hereby irrevocably elects to exercise the within Warrant to the extent of purchasing _____ shares of Common Stock (including _____ shares which would have been issuable pursuant to the Unit Warrants) and hereby makes payment of $_____ in payment of the exercise price thereof. -----------------------------------------

Purchase Form means the instrument prescribed by the Management Company for the purchase of Units, as stated in the Offering Document.

Purchase Form. Dated: ------------ The undersigned hereby irrevocably elects to exercise its right to purchase shares of the $0.001 par value Common Stock of American Psych ------ Systems, Inc., such right being pursuant to a Warrant dated as of February 19, 1994, and as issued to the undersigned by American Psych Systems, Inc., and remits herewith the sum of $ in payment for same in accordance with the ------- Exercise Price specified in such Warrant.

Purchase Form. Dated:____________ The undersigned hereby irrevocably elects to exercise his or its right to purchase __________ shares of the $0.0001 par value Class C Preferred Stock of Xxx-Tyme, Inc. (the "Company"), such right being pursuant to a Warrant dated October__, 1996, and as issued to the undersigned by the Company, and hereby:

Purchase Form. To: Dated: The undersigned, pursuant to the provisions set forth in the attached Warrant (No. ), hereby irrevocably elects to purchase shares of the Class III Preferred Stock covered by such Warrant and herewith makes payment of $________________________, representing the full purchase price for such shares at the price per share provided for in such Warrant. Signature: Address: EXHIBIT II ASSIGNMENT FORM FOR VALUE RECEIVED, hereby sells, assigns and transfers all of the rights of the undersigned under the attached Warrant (No. ) with respect to the number of shares of Class III Preferred Stock covered thereby set forth below, unto: Name of Assignee Address No. of Shares Dated: Signature: Dated: Witness: