Share Option Exercise Form

Exercise your option to purchase option shares from a corporation with this free Share Option Exercise form.

• This form can be used by any person or firm which is entitled to purchase shares under a stock option plan.
• The optionee must complete and present the form to the company, along with payment for the shares.

Download the free form or copy and paste the following text.

OPTION EXERCISE FORM

The undersigned Optionee hereby irrevocably elects to exercise this Option for the number and class of Shares as set forth below:

1. Number of Shares to be acquired: _____________________
2. Class of shares: __________________________
3. Option exercise price per share: $_______________
4. Aggregate purchase price: $__________________

and hereby tenders a certified cheque or bank draft for such aggregate purchase price, directing such Shares to be registered and a certificate therefor to be issued as directed below.

DATED at ________________ this ___ day of ____________, ________.


__________________________ _________________________________
WITNESS OPTIONEE'S SIGNATURE


_________________________________
OPTIONEE'S NAME

Direction as to Registration:

Name of Registered Holder: ______________________________

Address of Registered Holder: ______________________________________