Common use of PLEASE COMPLETE THE FOLLOWING Clause in Contracts

PLEASE COMPLETE THE FOLLOWING. 1. If the exercise of this Warrant was solicited by ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ & Company, L.P. please check the following box / / 2. The exercise of this Warrant was solicited by / / -------------------------- 3. If the exercise of this Warrant was not solicited, please check the following box / / Dated: ______________________ X_________________________________ _________________________________ _________________________________ Address -------------------------------- Social Security or Taxpayer Identification Number -------------------------------- Signature Guaranteed --------------------------------

PLEASE COMPLETE THE FOLLOWING. 1. If the The exercise of this Warrant was solicited by ▇May ▇▇▇▇▇ ▇▇▇▇▇▇▇ & CompanyGroup, L.P. please check the following box / /Inc. o 2. The exercise of this Warrant was solicited by / / --------------------------__________________________________. o 3. If the exercise of this Warrant was not solicited, please check the following box / / Dated: box. o Dated:_________________199____ X_____________________________ X_________________________________ ______________________________ Address ______________________________ Social Security or Taxpayer Identification Number _________________________________ Address -------------------------------- Social Security or Taxpayer Identification Number -------------------------------- Signature Guaranteed --------------------------------