| | |
THE OFFER AND WITHDRAWAL RIGHTS WILL EXPIRE AT 11:59 P.M., NEW YORK CITY TIME, ON JUNE 29, 2017, UNLESS THE OFFER IS EXTENDED.
|
| |
| |
If delivering by mail:
|
| |
By overnight courier:
|
|
| |
Computershare Trust Company, N.A.
Attn: Corporate Actions Voluntary Offer P.O. Box 43011, Providence, RI 02940-3011 |
| |
Computershare Trust Company, N.A.
Attn: Corporate Actions Voluntary Offer 250 Royall Street, Suite V, Canton, MA 02021 |
|
| | |
DESCRIPTION OF UNITS TENDERED
|
| | ||||||||||||
| | |
Name(s) and Address(es) of Registered
Owner(s) (If blank, please fill in exactly as name(s) appear(s) on unit certificate(s)) |
| | |
Units Tendered
(Attach additional list if necessary) |
| | ||||||||
| | | | | | |
Unit Certificate
Number(s)* |
| | |
Total Number of Units
Represented By Units Certificate(s)* |
| | |
Number of Units
Tendered** |
| |
| | | | | | | | | | | | | |||||
| | | | | | | | | | | | | |||||
| | | | | | | | | | | | | |||||
| |
Total Units
(Including Units held electronically through the Direct Registration System at the Depositary (book-entry)) |
| | | | | | | | | | |||||
| | |
*
Need not be completed by book-entry unitholders.
**
Unless otherwise indicated, it will be assumed that all common units of World Point Terminals, LP represented by certificates and book-entry described above are being tendered hereby. See Instruction 4.
|
| | ||||||||||||
| |
SPECIAL PAYMENT INSTRUCTIONS
(See Instructions 1, 5, 6 and 7) |
|
| | To be completed ONLY if Unit Certificate(s) not tendered or not accepted for payment and/or the check for the purchase price of Units accepted for payment are to be issued in the name of someone other than the undersigned or if Units tendered by book-entry transfer which are not accepted for payment are to be returned by credit to an account maintained at DTC other than that designated above. | |
| |
Issue to:
☐ Check
☐ Certificate
|
|
| |
Name:
(Please Print)
|
|
| | Address: | |
| |
Address:
(Include Zip Code)
|
|
| |
(Taxpayer Identification or Social Security Number)
|
|
| | (See “Form W-9”) | |
| |
SPECIAL DELIVERY INSTRUCTIONS
(See Instructions 1, 5, 6 and 7) |
|
| | To be completed ONLY if Unit Certificate(s) not tendered or not accepted for payment and/or the check for the purchase price of Units accepted for payment are to be sent to someone other than the undersigned or to the undersigned at an address other than that shown in the box titled “Description of Units Tendered” above. | |
| |
Deliver to:
☐ Check
☐ Certificate
|
|
| |
Name:
(Please Print)
|
|
| | Address: | |
| |
Address:
(Include Zip Code)
|
|
| | Signature(s) | |
| | Capacity | |
| | (full title) | |
| |
Name(s):
(Please Print)
|
|
| | Date: | |
| | Address: | |
| |
Address:
(Include Zip Code)
|
|
| | Daytime Area Code and Telephone Number: | |
| | Taxpayer Identification or Social Security No: | |
| |
Name of firm:
(Please Print)
|
|
| | Address: | |
| |
Address:
(Include Zip Code)
|
|
| | Authorized Signature: | |
| |
Name(s):
(Please Print)
|
|
| | Daytime Area Code and Telephone Number: | |
| | Dated: | |
| |
If delivering by mail:
|
| |
By overnight courier:
|
|
| |
Computershare Trust Company, N.A.
Attn: Corporate Actions Voluntary Offer P.O. Box 43011, Providence, RI 02940-3011 |
| |
Computershare Trust Company, N.A.
Attn: Corporate Actions Voluntary Offer 250 Royall Street, Suite V, Canton, MA 02021 |
|