Exhibit 4.6


 





 


SUBSCRIPTION AGENT AGREEMENT


 








 


This SUBSCRIPTION AGENT
AGREEMENT (this “Agreement”) is entered into as of __________________, by and between American Stock Transfer &
Trust Company, LLC (the “Subscription Agent”) and _______________ (the “Company”).


 


		1.	The Company is offering (the “Rights Offering”) to the holders of shares of its common
stock, par value $_____ per share (“Common Stock”), on ______________ (the “Record Date”), the right (“Rights”)
to subscribe for units (“Units”), each Unit consisting of ______________________. Except as set forth in Sections 9
and 10 below, Rights shall cease to be exercisable at 5:00 P.M., New York City time, on _________________ or such later date of
which the Company notifies the Subscription Agent orally and confirms in writing (the “Expiration Date”). _____ Right(s)
is/are being issued for _____ shares of Common Stock held on the Record Date. _____________________ Right(s) and payment in full
of the subscription price of $_______ (the “Subscription Price”) is/are required to subscribe for one Unit. Rights
are evidenced by transferable subscription certificates in registered form (“Subscription Certificates”). Each holder
of Subscription Certificate(s) who exercises the holder’s right to subscribe for all Units that can be subscribed for with
the Rights evidenced by such Subscription Certificate(s) (the “Basic Subscription Right”) will have the right to subscribe
for additional Units, if any, available as a result of any unexercised Rights (such additional subscription right being referred
to hereafter as the “Additional Subscription Privileged”). The Rights Offering will be conducted in the manner and
upon the terms set forth in the Company’s Prospectus dated _______________ (the “Prospectus”).



 


		2.	The Subscription Agent is hereby appointed to affect the Rights Offering as set forth herein. The
Subscription Agent may rely on, and shall be protected in acting upon, any certificate, instrument, opinion, representation, notice
letter or other document delivered to it and believed by it to be genuine and to have been signed by the proper party or parties.



 


		3.	Enclosed herewith are the following, the receipt of which the Subscription Agent acknowledges by
its execution hereof:



 


		(a)	a copy of the Prospectus;



 


		(b)	the form of Subscription Certificate (with instructions);



 


		(c)	resolutions adopted by the board of directors of the Company in connection with the Rights Offering,
certified by the secretary of the Company; and



 


		(d)	notice of guaranteed delivery (“Notice of Guaranteed Delivery”).



 


		4.	As soon as is reasonably practical, the Subscription Agent shall mail or cause to be mailed to
each holder of Common Stock at the close of business on the Record Date a Subscription Certificate evidencing the Rights to which
such holder is entitled, a Notice of Guaranteed Delivery, a Prospectus and an envelope addressed to the Subscription Agent. Prior
to mailing, the Company shall provide the Subscription Agent with blank Subscription Certificates which the Subscription Agent
shall prepare and issue in the names of holders of Common Stock of record at the close of business on the Record Date and for the
number of Rights to which they are entitled. The Company shall also provide the Subscription Agent with a sufficient number of
copies of each of the documents to be mailed with the Subscription Certificates.



 


		5.	Subscription Procedure.



 


		(a)	Upon the Subscription Agent’s receipt prior to 5:00 P.M., New York City time, on the Expiration
Date (by mail or delivery) of (ii) any Subscription Certificate completed and endorsed for exercise, as provided on the reverse
side of the Subscription Certificate (except as provided in Section 9 hereof), and (ii) payment in full of the Subscription Price
in U.S. funds by check, bank draft or money order payable at par (without deduction for bank service charges or otherwise) to the
order of “American Stock Transfer & Trust Company, LLC” the Subscription Agent shall as soon as practicable
after the Expiration Date, but after performing the procedures described in subsections (b) and (c) below, mail to the subscriber’s
registered address on the books of the Company certificates representing the securities underlying each Unit duly subscribed for
(pursuant to the Basic Subscription Right and the Additional Subscription Privilege) and furnish a list of all such information
to the Company.



 



    	 



    	 



    




 


		(b)	As soon as practicable after the Expiration Date the Subscription Agent shall calculate the number
of Units to which each subscriber is entitled pursuant to the Additional Subscription Privilege. The Additional Subscription Privilege
may only be exercised by holders who subscribe to all the Units that can be subscribed for under the Basic Subscription Right.
The Units available for additional subscriptions will be those that have not been subscribed and paid for pursuant to the Basic
Subscription Right (the “Remaining Units”). Where there are sufficient Remaining Units to satisfy all additional subscriptions
by holders exercising their rights under the Additional Subscription Privilege, each holder shall be allotted the number of Additional
Units subscribed for. If the aggregate number of Units subscribed for under the Additional Subscription Privilege exceeds the number
of Remaining Units, the number of Remaining Units allotted to each participant in the Additional Subscription Privilege shall be
the product (disregarding fractions) obtained by multiplying the number of Remaining Units by a fraction of which the numerator
is the number of Units subscribed for by that participant under the Additional Subscription Privilege and the denominator is the
aggregate number of Remaining Units subscribed for by all participants under the Additional Subscription Privilege. Any fractional
Unit to which persons exercising their Additional Subscription Privilege would otherwise be entitled pursuant to such allocation
shall be rounded to the next whole Unit.



 


		(c)	Upon calculating the number of Units to which each subscriber is entitled pursuant to the Additional
Subscription Privilege and the amount overpaid, if any, by each subscriber, the Subscription Agent shall, as soon as practicable,
furnish a list of all such information to the Company.



 


		(d)	Upon calculating the number of Units to which each subscriber is entitled pursuant to the Additional
Subscription Privilege and assuming payment for the additional Units subscribed for has been delivered, the Subscription Agent
shall mail, as contemplated in subsection (a) above, the certificates representing the additional securities which the subscriber
has been allotted. If a lesser number of Units is allotted to a subscriber under the Additional Subscription Privilege than the
subscriber has tendered payment for, the Subscription Agent shall remit the difference to the subscriber without interest or deduction
at the same time as certificates representing the securities allotted pursuant to the Additional Subscription Privilege are mailed.



 


		(e)	Funds received by the Subscription Agent pursuant to the Basic Subscription Right and the Additional
Subscription Privilege shall be held by it in a segregated account. Upon mailing certificates representing the securities and refunding
subscribers for additional Units subscribed for but not allocated, if any, the Subscription Agent shall promptly remit to the Company
all funds received in payment of the Subscription Price for Units issued in the Rights Offering. The Subscription Agent will not
be obligated to calculate or pay interest to any holder or party.



 


		6.	Until 5:00 P.M., New York City time, on the third Business Day (as defined below) prior to the
Expiration Date, the Subscription Agent shall facilitate subdivision or transfers of Subscription Certificates by issuing new Subscription
Certificates in accordance with the instructions set forth on the reverse side of the Subscription Certificates. As used in herein,
“Business Day” shall mean any day other than a Saturday, a Sunday, or a day on which banking institutions in the State
of New York are authorized or obligated by law or executive order to close.



 


		7.	The Company shall have the absolute right to reject any defective exercise of Rights or to waive
any defect in exercise. Unless requested to do so by the Company, the Subscription Agent shall not be under any duty to give notification
to holders of Subscription Certificates of any defects or irregularities in subscriptions. Subscriptions will not be deemed to
have been made until any such defects or irregularities have been cured or waived within such time as the Company shall determine.
The Subscription Agent shall as soon as practicable return Subscription Certificates with the defects or irregularities which have
not been cured or waived to the holder of the Rights. If any Subscription Certificate is alleged to have been lost, stolen or destroyed,
the Subscription Agent should follow the same procedures followed for lost stock certificates representing Common Stock it uses
in its capacity as transfer agent for the Company’s Common Stock.



 


		8.	If prior to 5:00 P.M., New York City time, on the Expiration Date the Subscription Agent receives
(i) payment in full of the Subscription Price for the Units being subscribed for and (ii) a guarantee notice substantially in the
form of the notice of guaranteed delivery (“Notice of Guaranteed Delivery”) delivered with the Subscription Certificate,
from a financial institution having an office or correspondent in the United States, or a member firm of any registered United
States national securities exchange or of FINRA stating the certificate number of the Subscription Certificate relating to the
Rights, the name and address of the exercising subscriber, the number of Rights represented by the Subscription Certificate held
by such exercising subscriber, the number of Units being subscribed for pursuant to the Rights and guaranteeing the delivery to
the Subscription Agent of the Subscription Certificate evidencing such Rights within three (3) [insert exchange on which Common
Stock is listed] trading days (“Trading Days”) following the date of the Notice of Guaranteed Delivery, then the
Rights may be exercised even though the Subscription Certificate was not delivered to the Subscription Agent prior to 5:00 P.M.,
New York City time, on the Expiration Date, provided that within three Trading Days following the date of the Notice of Guaranteed
Delivery the Subscription Agent receive the properly completed Subscription Certificate evidencing the Rights being exercised,
with signatures guaranteed if required.



 



    	 



    	 



    




 


		9.	The Subscription Agent shall deliver to the Company the exercised Subscription Certificates in
accordance with written directions received from the Company and shall deliver to the subscribers who have duly exercised Rights
at their registered addresses certificates representing the securities subscribed for as instructed on the reverse side of the
Subscription Certificates.



 


		10.	The Subscription Agent shall notify the Company by telephone on and before the close of business
on each Business Day during the period commencing five (5) Business Days after the mailing of the Rights and ending at the Expiration
Date (and in the case of guaranteed deliveries ending three (3) Trading Days after the Expiration Date) (a “daily notice”),
which notice shall thereafter be confirmed in writing, of (i) the number of Rights exercised an the day covered by such daily notice,
(ii) the number of Rights subject to guaranteed exercises on the day covered by such daily notice, (iii) the number of Rights for
which defective exercises have been received on the day covered by such daily notice, and (iv) the cumulative total of the information
set forth in clauses (i) through (iii) above. At or before 5:00 P.M., New York City time, on the first Trading Day following the
Expiration Date the Subscription Agent shall certify in writing to the Company the cumulative total through the Expiration Date
of all the information set forth in clauses (i) through (iii) above. At or before 10:00 A.M., New York City time, on the fifth
Trading Day following the Expiration Date the Subscription Agent will execute and deliver to the Company a certificate setting
forth the number of Rights exercised pursuant to a Notice of Guaranteed Delivery and as to which Subscription Certificates have
been timely received. The Subscription Agent shall also maintain and update a listing of holders who have fully or partially exercised
their Rights, holders who have transferred their Rights and their transferees, and holders who have not exercised their Rights.
The Subscription Agent shall provide the Company or its designees with such information compiled by the Subscription Agent pursuant
to this Section 10 as any of them shall request.



 


		11.	With respect to notices or instructions to be provided by the Company hereunder, the Subscription
Agent may rely and act on any written instruction signed by any one or more of the following authorized officers or employees of
the Company:



 


	 	Name	Title
	 	 	 
	 	 	 


 


		12.	Whether or not the Rights Offering is consummated, the Company agrees to pay the Subscription Agent
for services rendered hereunder, as set forth in the schedule attached to this Agreement.



 


		13.	The Subscription Agent may employ or retain such agents (including but not limited to, vendors,
advisors and subcontractors) as it reasonably requires to perform its duties and obligations hereunder; may pay reasonable remuneration
for all services so performed by such agents; shall not be responsible for any misconduct on the part of such agents; and in the
case of counsel, may rely on the written advice or opinion of such counsel, which shall be full and complete authorization and
protection in respect of any action taken, suffered or omitted by the Subscription Agent hereunder in good faith and in accordance
with such advice or opinion. Additionally, the Subscription Agent shall identify, report and deliver any unclaimed property and/or
payments to all states and jurisdictions for the Company in accordance with applicable abandoned property law. The Subscription
Agent shall also provide information agent services to the Company on terms to be mutually agreed upon by the parties hereto.



 


		14.	The Company hereby covenants and agrees to indemnify, reimburse and hold the Subscription Agent
and its officers, directors, employees and agents harmless against any loss, liability or reasonable expense (including legal and
other fees and expenses) incurred by the Subscription Agent arising out of or in connection with entering into this Agreement or
the performance of its duties hereunder, except for such losses, liabilities or expenses incurred as a result of its gross negligence,
bad faith or willful misconduct. The Company shall not be liable under this indemnity with respect to any claim against the Subscription
Agent unless the Company is notified of the written assertion of a claim against it, or of any action commenced against it, promptly
after it shall have received any such written information as to the nature and basis of the claim; provided, however, that failure
by the Subscription Agent to provide such notice shall not relieve the Company of any liability hereunder if no prejudice occurs.



 


In no event shall the Subscription
Agent have any liability for any incidental, special, statutory, indirect or consequential damages, or for any loss of profits,
revenue, data or cost of cover.


 


All provisions regarding indemnification,
liability and limits thereon shall survive the resignation or removal of the Subscription Agent or the termination of this Agreement.


 



    	 



    	 



    




 


		15.	Any notice or communication by the Subscription Agent or the Company to the other is duly given
if in writing and delivered in person or via first class mail (postage prepaid), or overnight air courier to the other’s
address.



 


 


If to the Company:


 


 


 


[ADDRESS]


 


 


 


If to the Subscription Agent:


 


American Stock Transfer & Trust Company, LLC 


6201 15th Avenue 


Brooklyn, New York 11219 


Attn: Corporate Actions 


Tel: (718)
921.8200


 


with copy
to:


 


American
Stock Transfer & Trust Company, LLC 


6201 15th
Avenue 


Brooklyn,
New York 11219 


Attn: General
Counsel 


Tel: (718) 921.8200


 


The Subscription Agent and the
Company may, by notice to the other, designate additional or different addresses for subsequent notices or communications.


 


		16.	If any provision of this Agreement shall be held illegal, invalid, or unenforceable by any court,
this Agreement shall be construed and enforced as if such provision had not been contained herein and shall be deemed an Agreement
between us to the full extent permitted by applicable law.



 


		17.	This Agreement shall be governed by and construed in accordance with the laws of the State of New
York, without giving effect to principles of conflicts of law, and shall inure to the benefit of and be binding upon the successors
and permitted assigns of the parties hereto.



 


		18.	Neither this Agreement, nor any rights or obligations hereunder, may be assigned by either party
without the written consent of the other party. However, the Subscription Agent may assign this Agreement or any rights granted
hereunder, in whole or in part, either to affiliates, another division, subsidiaries or in connection with its reorganization or
to successors of all or a majority of the Subscription Agent’s assets or business without the prior written consent of the
Company.



 


		19.	No provision of this Agreement may be amended, modified or waived, except in writing signed by
all of the parties hereto. This Agreement may be executed in counterparts, each of which shall be for all purposes deemed an original,
but all of which together shall constitute one and the same instrument.



 


		20.	Nothing herein contained shall amend, replace or supersede any agreement between the Company and
the Subscription Agent to act as the Company’s transfer agent, which agreement shall remain of full force and effect.



 


[signature page follows]


 






    	 



    	 



    

 


This Subscription Agent
Agreement has been executed by the parties hereto as of the date first written above.


 





	 	[COMPANY]
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:



 


 


Agreed & Accepted:


 


AMERICAN STOCK TRANSFER & TRUST COMPANY, LLC


 


	 	By:	 	 
	 	 	Name:	 
	 	 	Title:	 



 


 



    	 



    	 



    







Fee Schedule


 


Flat fee of $ 14,000.00


 


Plus reasonable out-of-pocket expenses.


 


Additional fee equal to $2,500.00,
fee for each extension of the Rights Offering, plus reasonable out-of-pocket expenses associated with such extension.


 


The party below is responsible
for payment of the fees:


 


Name:





Attention:





Address:





Address:





Address:





Facsimile:





Phone:





Email:


 


The fees quoted in this schedule
apply to services ordinarily rendered by American Stock Transfer & Trust Company, LLC (“AST”) as subscription agent
and are subject to reasonable adjustment based on final review of documents, or when AST is called upon to undertake unusual duties
or responsibilities, or as changes in law, procedures, or the cost of doing business demand. Furthermore, the fees quoted in this
schedule are based upon information provided to AST and are subject to change upon modification or supplementation of such information
resulting in the provision of additional services by AST. Services in addition to and not contemplated in this Agreement, including,
but not limited to, document amendments and revisions, calculations, notices and reports, legal fees and unanticipated transaction
costs (including charges for wire transfers, checks, internal transfers and securities transactions) will be billed as extraordinary
expenses.