Common use of To Be Executed Clause in Contracts

To Be Executed. Upon Exercise of Warrant The undersigned hereby irrevocably elects to exercise Warrants evidenced by this Warrant Certificate, to purchase _________ (currency) principal amount of the [Title of Warrant Securities] (the "Warrant Securities") of Alexander & Alexander Services Inc. and represents that he has tendered payment for such Warrant Securities [in cash or by certified check or official bank check or by bank wire transfer, in each case] [by bank wire transfer], in immediately available funds, to the order of Alexander & Alexander Services Inc., c/o [insert name and address of Warrant Agent], in the amount of _________ (currency) in accordance with the terms hereof. The undersigned requests that said principal amount of Warrant Securities be in fully registered form and in the authorized denominations, registered in such names and delivered, all as specified in accordance with the instructions set forth below. If the number of Warrants exercised is less than all of the Warrants evidenced hereby, the undersigned requests that a new Warrant Certificate representing the remaining Warrants evidenced hereby be issued and delivered to the undersigned unless otherwise specified in the instructions below. Dated: Name ________________________ (Please Print) _________________________ Address ______________________ Social Security Number or ______________________ Other Identifying Number of ______________________ Holder Signature _____________________ The Warrants evidenced hereby may be exercised at the following addresses: By hand at ____________________________________________ -------------------------------------------- -------------------------------------------- By mail at ____________________________________________ -------------------------------------------- -------------------------------------------- [Instructions as to form and delivery of Warrant Securities and, if applicable, Warrant Certificates evidencing unexercised Warrants -- complete as appropriate.]

Appears in 1 contract

Sources: Warrant Agreement (Alexander & Alexander Services Inc)

To Be Executed. Upon Exercise of Warrant UPON EXERCISE OF WARRANT The undersigned hereby irrevocably elects to exercise Warrants Warrants, evidenced by this Warrant Certificate, to purchase $__________ (currency) principal amount of the [Title of Warrant SecuritiesNotes] (the "Warrant SecuritiesNotes") of Alexander & Alexander Services Lucent Technologies Inc. and represents that he has tendered payment for such Warrant Securities Notes [in cash or by certified check or official bank check or by bank wire transfer, in each case,] [by bank wire transfer], ] [in immediately available funds, ] to the order of Alexander & Alexander Services Inc., Lucent Technologies Inc. c/o [insert name and address of Warrant Agent], in the amount of _$________ (currency) in accordance with the terms hereof. The undersigned requests that said principal amount of Warrant Securities Notes be in [bearer form in the authorized denominations] [fully registered form and in the authorized denominations, registered in such names and aid delivered, ] all as specified in accordance with the instructions set forth below. If the number of Warrants exercised is less than all of the Warrants evidenced hereby, the undersigned requests that a new Warrant Certificate representing the remaining Warrants evidenced hereby be issued and delivered to the undersigned undersigned, unless otherwise specified in ;n the instructions below. Dated: Name :___________________________ Name_____________________________ (Please Print) _________________________________ Address Address__________________________ (Insert Social Security or other Identifying Number or of Holder) __________________________ Other Identifying Number of Signature______________________ Holder Signature _____________________ The Warrants evidenced hereby may be exercised at the following addresses: By hand at ___________________________________________________________ -------------------------------------------- -------------------------------------------- ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ By mail at ___________________________________________________________ -------------------------------------------- -------------------------------------------- ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ [Instructions as to form and delivery of Warrant Securities Notes and, if applicable, Warrant Certificates evidencing unexercised Warrants -- complete as appropriate.]

Appears in 1 contract

Sources: Warrant Agreement (Lucent Technologies Inc)

To Be Executed. Upon Exercise of Warrant The undersigned hereby irrevocably elects to exercise Warrants Warrants, evidenced by this Warrant Certificate, to purchase _________ (currency) $ principal amount of the [Title of Warrant Securities] (the "Warrant Securities") of Alexander & Alexander Services ▇▇▇▇▇▇ ▇▇▇▇▇▇ Companies Inc. and represents that he has tendered payment for such Warrant Securities [in cash or by certified check or official bank check or by bank wire transfer, in each case,] [by bank wire transfer], ] in immediately available funds, funds to the order of Alexander & Alexander Services ▇▇▇▇▇▇ ▇▇▇▇▇▇ Companies Inc., c/o [insert name and address of Warrant Agent], ] in the amount of _________ (currency) $ in accordance with the terms hereof. The undersigned requests that said principal amount of Warrant Securities be in fully registered form and in the authorized denominations, registered in such names and delivered, delivered all as specified in accordance with the instructions set forth below. If the number of Warrants exercised is less than all of the Warrants evidenced hereby, the undersigned requests that a new Warrant Certificate representing the remaining Warrants evidenced hereby be issued and delivered to the undersigned unless otherwise specified in the instructions below. Dated: Name Name_________________________________ (Please Print) ________________________________ Address Address______________________________ (Insert Social Security or Other Identifying Number or of Holder) _____________________________________ Other Identifying Number of Signature______________________ Holder Signature _____________________ The Warrants evidenced hereby may be exercised at the following addresses: By hand at at_________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ By mail at_________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ [Instructions as to form and delivery of Warrant Securities and, if applicable, Warrant Certificates evidencing unexercised Warrants--complete as appropriate.] Assignment (Form of Assignment To Be Executed if Holder Desires To Transfer Warrants Evidenced Hereby) FOR VALUE RECEIVED hereby sells, assigns and transfers unto ________________________________________________________________________________ -------------------------------------------- -------------------------------------------- By mail at (Please print name and address including zip code) ________________________________________________ -------------------------------------------- -------------------------------------------- [Instructions (Please insert social security or other identifying number) ________________________________________________________________________________ the Warrants represented by the within Warrant Certificate and does hereby irrevocably constitute and appoint Attorney, to transfer said Warrant Certificate on the books of the Warrant Agent with full power of substitution in the premises. Dated: ________________________________________________ Signature (Signature must conform in all respects to name of holder as to form specified on the face of this Warrant Certificate and delivery must bear a signature guarantee by a bank, trust company or member broker of Warrant Securities andthe New York, if applicablethe American, Warrant Certificates evidencing unexercised Warrants -- complete as appropriateMidwest or Pacific Stock Exchange.])

Appears in 1 contract

Sources: Warrant Agreement (Philip Morris Companies Inc)