CERTIFICATE FOR RIGHTS

 

CERTIFICATE FOR RIGHTS

 

 

 

 

 

 

 

 

THIS CERTIFIES THAT the registered owner whose name is inscribed hereon is the owner of the number of Rights set forth above, each of which entitles the owner to subscribe for and purchase [•] shares of common stock, $0.10 par value per share, of Turbosonic Technologies, Inc., a Delaware corporation, on the terms and subject to the conditions set forth in the Prospectus and instructions relating hereto on the reverse side hereof and in the instructions as to the use of this certificate included in this mailing.  The non-transferable Rights represented by this Subscription Certificate may be exercised by duly completing Section 1 on the reverse side hereof and by returning the full payment of the subscription price for each share of common stock as described on the reverse side hereof.  Special delivery instructi ons may be specified by completing Section 2 on the reverse side hereof.  THE RIGHTS EVIDENCED BY THIS SUBSCRIPTION CERTIFICATE ARE NOT TRANSFERABLE AND MAY NOT BE EXERCISED UNLESS THE REVERSE SIDE HEREOF IS COMPLETED AND SIGNED WITH A SIGNATURE GUARANTEE, IF APPLICABLE.  This certificate is governed by the law of the State of Delaware.

 

Chief Executive Officer   President and Secretary

 

 

 

AMERICAN STOCK TRANSFER AND TRUST COMPANY

(New York, N.Y.), as SUBSCRIPTION AGENT

 

By:

---

Authorized Signature

 

 

 

 

Delivery to an address other than the address listed above will not constitute valid delivery.  Delivery by facsimile will not constitute valid delivery.

 

PLEASE PRINT ALL INFORMATION CLEARLY AND LEGIBLY

 

 

 

SECTION 1

 

IF YOU WISH TO SUBSCRIBE FOR YOUR FULL SUBSCRIPTION PRIVILEGE OR A PORTION THEREOF:

 

 

I exercise		rights x	[•]	=
	(no. of rights)		(ratio)		(no. of new shares)

Therefore, I apply for		x $	[•]	= $
	(no. of new shares)		(subscription price)		(amount enclosed)

 

If you fully exercise your Basic Subscription Privilege and wish to subscribe for additional shares you may exercise your Over-Subscription Privilege.

 

Therefore, I apply for:

 

	x $	[•]	= $
(no. of over-sub­scription shares subscribed for)		(subscription price)		(additional amount enclosed)

o	Check or bank draft drawn on a U.S. bank, or postal telegraphic or express money order payable to American Stock Transfer & Trust Company, as Subscription Agent.

 

o	Wire transfer directly to the escrow account maintained by American Stock Transfer & Trust Company, as Subscription Agent.

 

TO SUBSCRIBE:  I acknowledge that I have received the prospectus for this offer and I hereby irrevocably subscribe for the number of shares indicated above on the terms and conditions specified in the prospectus.  I hereby agree that if I fail to pay for the shares of Common Stock for which I have subscribed, Turbosonic Technologies, Inc. may exercise its legal remedies against me.

 

Signature(s) of Subscriber(s)

 

 

If signature is by trustee(s), executor(s), administrator(s), guardian(s), attorney(s)-in-fact, agent(s), officer(s) of a corporation or another acting in a fiduciary or representative capacity, please provide the following information (please print).  See the instructions.

 

Name (s):__________________________

 

Capacity (Full Title):__________________

 

Taxpayer ID # or Social Security #:______________________

 

 

 

 

 

 

SECTION 2

 

SPECIAL ISSUANCE OR DELIVERY INSTRUCTIONS FOR SUBSCRIPTION RIGHTS HOLDERS

 

(a)           To be completed ONLY if the certificate representing the Common Stock is to be issued in a name other than that of the registered holder.  (See the Instructions.)  DO NOT FORGET TO COMPLETE THE GUARANTEE OF SIGNATURE(S) SECTION BELOW.

 

ISSUE COMMON STOCK TO:

 

(Please Print Name)     (Print Full Address)   (Social Security # or Tax ID #)

 

(b)           To be completed ONLY if the certificate representing the Common Stock is to be sent to an address other than that shown on the front of this certificate.  (See the Instructions.)  DO NOT FORGET TO COMPLETE THE GUARANTEE OF SIGNATURE(S) SECTION BELOW.

 

 

GUARANTEE OF SIGNATURE(S)

 

YOU MUST HAVE YOUR SIGNATURE GUARANTEED IF YOU WISH TO HAVE YOUR SHARES DELIVERED TO AN ADDRESS OTHER THAN YOUR OWN OR TO A SHAREHOLDER OTHER THAN THE REGISTERED HOLDER.

 

Your signature must be guaranteed by an Eligible Guarantor Institution, as defined in Rule 17Ad-15 of the Securities Exchange Act of 1934, as amended.  These generally include (a) a commercial bank or trust company, (b) a member firm of a domestic stock exchange, or (c) a credit union.

 

Signature: (Name of Bank or Firm)   Signature: (Signature of Officer)

 

FULL PAYMENT FOR THE SHARES MUST ACCOMPANY THIS FORM AND MUST BE MADE IN UNITED STATES DOLLARS BY (I) CHECK OR BANK DRAFT DRAWN UPON A UNITED STATES BANK OR POSTAL, TELEGRAPHIC OR EXPRESS MONEY ORDER PAYABLE TO “AMERICAN STOCK TRANSFER & TRUST COMPANY, AS SUBSCRIPTION AGENT”; (II) WIRE TRANSFER OF IMMEDIATELY AVAILABLE FUNDS TO THE ACCOUNT MAINTAINED BY AMERICAN STOCK TRANSFER & TRUST COMPANY FOR PURPOSES OF ACCEPTING SUBSCRIPTIONS IN THE RIGHTS OFFERING AT JP MORGAN CHASE, ABA #021000021, ACCOUNT #323-836925, ACCOUNT NAME - AMERICAN STOCK TRANSFER.

 

STOCK CERTIFICATES FOR THE SHARES SUBSCRIBED TO PURSUANT TO THE RIGHTS OFFERING WILL BE DELIVERED AS SOON AS PRACTICABLE AFTER THE EXPIRATION DATE.  ANY REFUND IN CONNECTION WITH YOUR SUBSCRIPTION WILL BE DELIVERED AS SOON AS PRACTICABLE THEREAFTER.

 

FOR INSTRUCTIONS ON THE USE OF TURBOSONIC TECHNOLOGIES, INC. SUBSCRIPTION CERTIFICATES CONSULT THE SUBSCRIPTION AGENT AT (800) [•]-[•], OR YOUR BANK OR BROKER WITH QUESTIONS.