Delivery of Exercise Shares. The Company shall deliver to the holder __________ Exercise Shares in accordance with the terms of the Warrant. Date: _______________ __, ______ Name of Registered Holder By: Name: Title: The Company hereby acknowledges this Exercise Notice and, if applicable, hereby directs American Stock Transfer & Trust Company to issue the above indicated number of shares of Common Stock. COLUMBIA LABORATORIES, INC. By: Name: Title: (To assign the foregoing Warrant, subject to compliance with Sections 4.3 and 8, execute this form and supply required information. Do not use this form to purchase shares.) For Value Received, the foregoing Warrant and all rights evidenced thereby are hereby assigned to Name: (Please Print) Address: (Please Print) Dated: __________, 20__ Holder’s Signature: Holder’s Address:
Appears in 2 contracts
Sources: Warrant Agreement (Columbia Laboratories Inc), Investment and Royalty Agreement (Columbia Laboratories Inc)