Signature: Assignee definition
Signature: Assignee. Dated: Address: Address: SS/Fed ID #: SS/Fed ID #: PARTIAL ASSIGNMENT FOR VALUE RECEIVED ________________________________________ hereby assigns and transfers unto ____________________________________________ the right to purchase ___________ shares of the Common Stock of PALOMAR MEDICAL TECHNOLOGIES, INC. by the foregoing Warrant, and a proportionate part of said Warrant and the rights evidenced hereby, and does irrevocably constitute and appoint __________________________________________, attorney, to transfer that part of said Warrant on the books of PALOMAR MEDICAL TECHNOLOGIES, INC.
Signature: Assignee. Dated: Address: Address: