EX-99.3 20 ex99-3.htm

 

Exhibit 99.3

 

BENEFICIAL OWNER ELECTION FORM

 

The undersigned acknowledge(s) receipt of your letter and the enclosed materials relating to the grant of non-transferable rights to purchase units of Gigglers N’ Hugs, Inc., each unit consisting of one share of common stock, $0.0001 par value, and 0.70 warrant, at a subscription price of $[  ] per unit, subject to proration. Each whole warrant will be exercisable for one share of common stock.

 

This will instruct you whether to exercise rights to purchase units distributed with respect to the shares of common stock held by you for the account of the undersigned, pursuant to the terms and subject to the conditions set forth in the prospectus and the related “Instructions as to Use of Giggles N’ Hugs Inc. Subscription Rights Certificates.”

 

I (we) hereby instruct you as follows:

 

(CHECK THE APPLICABLE BOXES AND PROVIDE ALL REQUIRED INFORMATION)

 

Box 1. [  ] Please DO NOT EXERCISE RIGHTS for units.

 

Box 2. [  ] Please EXERCISE RIGHTS for shares of units as set forth below:

 

  Units Subscription
Price
  Payment
Basic Subscription Privilege ________________x $[      ] = $       (Line 1)
Over-Subscription Privilege ________________x $[      ] = $       (Line 1)
Total Payment Required       $       (Sum of Lines 1 and 2)

 

Box 3. [  ] Payment in the following amount is enclosed: $           

 

Box 4. [  ] Please deduct payment of $            from the following account maintained by you as follows:

(The total of Box 3 and Box 4 must equal the total payment specified above.)

 

Type of Account ___________________________

 

Account No.___________________________

 

I (we) on my (our) own behalf, or on behalf of any person(s) on whose behalf, or under whose directions, I am (we are) signing this form:

 

● irrevocably elect to purchase the units indicated above upon the terms and conditions specified in the prospectus; and

 

● agree that if I (we) fail to pay for the units I (we) have elected to purchase, you may exercise any remedies available to you under law.

 

Name of Beneficial Owner(s): ______________________________________________

 

Signature of Beneficial Owners(s): __________________________________________

 

If you are signing in your capacity as a trustee, executor, administrator, guardian, attorney-in-fact, agent, officer of a corporation or another acting in a fiduciary or representative capacity, please provide the following information:

 

Name: _________________________________________________________________

 

Capacity: _______________________________________________________________

 

Address (including zip code): _______________________________________________

 

Telephone Number: _______________________________________________________