Unassociated Document









 Exhibit 4.3








	
NUMBER

	
(SEE REVERSE SIDE FOR LEGEND)

	
WARRANTS


	
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THIS WARRANT WILL BE VOID IF NOT EXERCISED PRIOR TO 5:00 P.M. NEW YORK CITY TIME, DECEMBER 31, 2013

	
 


	  	  	  
	
 

	
USA TECHNOLOGIES, INC.

	
CUSIP


	
 

	
 

	
_______












WARRANT


 


THIS CERTIFIES THAT, for value received ______________________________________ is the registered holder of a Warrant or Warrants expiring December 31, 2013 (the “Warrant”) to purchase one fully paid and non-assessable share of Common Stock, no par value (“Shares”), of USA Technologies, Inc., a Pennsylvania corporation (the “Company”), for each Warrant evidenced by this Warrant Certificate. The Warrant entitles the holder thereof to purchase from the Company, commencing on January 1, 2011, such number of Shares of the Company at the price of $___ per share, upon surrender of this Warrant Certificate and payment of the Warrant Price at the office or agency of the Warrant Agent, American Stock Transfer & Trust Company, LLC but only subject to the conditions set forth herein and in the Warrant Agreement between the Company and American Stock Transfer & Trust Company, LLC (as may be amended from time to time, the “Warrant Agreement”). In no event will the Company be required to net cash settle the warrant exercise. The Warrant Agreement provides that upon the occurrence of certain events the Warrant Price and the number of Warrant Shares purchasable hereunder, set forth on the face hereof, may, subject to certain conditions, be adjusted. The term Warrant Price as used in this Warrant Certificate refers to the price per Share at which Shares may be purchased at the time the Warrant is exercised.


 


No fraction of a Share will be issued upon any exercise of a Warrant. If the holder of a Warrant would be entitled to receive a fraction of a Share upon any exercise of a Warrant, the Company shall, upon such exercise round up or down to the nearest whole number the number of Shares to be issued to such holder.


 


Upon any exercise of the Warrant for less than the total number of full Shares provided for herein, there shall be issued to the registered holder hereof or the registered holder’s assignee a new Warrant Certificate covering the number of Shares for which the Warrant has not been exercised.


 


Warrant Certificates, when surrendered at the office or agency of the Warrant Agent by the registered holder hereof in person or by attorney duly authorized in writing, may be exchanged in the manner and subject to the limitations provided in the Warrant Agreement, but without payment of any service charge, for another Warrant Certificate or Warrant Certificates of like tenor and evidencing in the aggregate a like number of Warrants.







Upon due presentment for registration of transfer of the Warrant Certificate at the office or agency of the Warrant Agent, a new Warrant Certificate or Warrant Certificates of like tenor and evidencing in the aggregate a like number of Warrants shall be issued to the transferee in exchange for this Warrant Certificate, subject to the limitations provided in the Warrant Agreement, without charge except for any applicable tax or other governmental charge.


 


The Company and the Warrant Agent may deem and treat the registered holder as the absolute owner of this Warrant Certificate (notwithstanding any notation of ownership or other writing hereon made by anyone), for the purpose of any exercise hereof, of any distribution to the registered holder, and for all other purposes, and neither the Company nor the Warrant Agent shall be affected by any notice to the contrary.


 


This Warrant does not entitle the registered holder to any of the rights of a shareholder of the Company.


 



	
 

	
 

	
 

	
USA TECHNOLOGIES, INC.

	
 


	
 

	
 

	
 

	
 

	
 

	
 


	
 

	
 

	
 

	
 

	
 

	
 


	
By:

	
 

	
 

	
By:

	
 

	
 


	
 

	
Secretary

	
 

	
 

	
Chief Executive Officer

	
 







 




  





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SUBSCRIPTION FORM


To Be Executed by the Registered Holder in Order to Exercise Warrants







The undersigned Registered Holder irrevocably elects to exercise _________ Warrants represented by this Warrant Certificate, and to purchase the shares of Common Stock issuable upon the exercise of such Warrants, and requests that Certificates for such shares shall be issued in the name of


 



	  
	
(PLEASE TYPE OR PRINT NAME AND ADDRESS)













	  
	
(SOCIAL SECURITY OR TAX IDENTIFICATION NUMBER)







 



	
and be delivered to

	
 

	
 


	
 

	
 

	
(PLEASE PRINT OR TYPE NAME AND ADDRESS)







 



	  
	
and, if such number of Warrants shall not be all the Warrants evidenced by this Warrant Certificate, that a new Warrant Certificate for the balance of such Warrants be registered in the name of, and delivered to, the Registered Holder at the address stated below:













	
Dated:

	
 

	
 

	
 

	
 


	
 

	
 

	
(SIGNATURE)

	
 


	
 

	
 

	
 

	
 


	
 

	
 

	
(ADDRESS)

	
 


	
 

	
 

	
 

	
 


	
 

	
 

	
 

	
 


	
 

	
 

	
 

	
 


	
 

	
 

	
(SOCIAL SECURITY OR TAX IDENTIFICATION NUMBER)












ASSIGNMENT


To Be Executed by the Registered Holder in Order to Assign Warrants







For Value Received, ____________________________ hereby sells, assigns, and transfers unto


 



	  
	
(PLEASE TYPE OR PRINT NAME AND ADDRESS)


	
 


	  





(SOCIAL SECURITY OR TAX IDENTIFICATION NUMBER)



	
and be delivered to

	
 

	
 


	
 

	
 

	
(PLEASE PRINT OR TYPE NAME AND ADDRESS)







___________ of the Warrants represented by this Warrant Certificate, and hereby irrevocably constitutes and appoints __________________________ Attorney to transfer this Warrant Certificate on the books of the Company, with full power of substitution in the premises.


 


 



	
Dated:

	
 

	
 

	
 

	
 


	
 

	
 

	
 

	
(SIGNATURE)

	
 












THE SIGNATURE TO THE ASSIGNMENT OF THE SUBSCRIPTION FORM MUST CORRESPOND TO THE NAME WRITTEN UPON THE FACE OF THIS WARRANT CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATSOEVER, AND MUST BE GUARANTEED BY A COMMERCIAL BANK OR TRUST COMPANY OR A MEMBER FIRM OF THE AMERICAN STOCK EXCHANGE, NEW YORK STOCK EXCHANGE, PACIFIC STOCK EXCHANGE OR CHICAGO STOCK EXCHANGE.


 


 


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