By Mail:
|
By Overnight Mail: | |
Computershare Trust Company, N.A
|
Computershare Trust Company, N.A. | |
Therma-Wave, Inc.
|
Therma-Wave, Inc. | |
P.O. Box 43011
|
250 Royall Street | |
Providence, RI
02940-3011
|
Canton, MA 02021 | |
Attn: Corporate Actions Department
|
Attn: Corporate Actions Department |
DESCRIPTION OF SHARES TENDERED | |||||||||
Name(s) & Address(es) of Registered Holder(s) |
|||||||||
(Please fill in, if blank, exactly as name(s) |
Shares Tendered |
||||||||
appear(s) on Share certificate(s)) | (Attach additional list if necessary) | ||||||||
Total Number |
|||||||||
of Shares |
Number of |
||||||||
Certificate |
Represented by |
Shares |
|||||||
Number(s)* | Certificate(s)* | Tendered** | |||||||
Total Shares | |||||||||
* Need not be completed by
stockholders tendering by book-entry transfer.
|
|||||||||
** Unless otherwise indicated,
it will be assumed that all Shares represented by any
certificates delivered to the Depositary are being tendered. See
Instruction 4.
|
|||||||||
o
|
CHECK HERE IF SHARE CERTIFICATES HAVE BEEN MUTILATED, LOST, STOLEN OR DESTROYED, SEE INSTRUCTION 9. | |
o
|
CHECK HERE IF TENDERED SHARES ARE BEING DELIVERED BY BOOK-ENTRY TRANSFER TO THE DEPOSITARYS ACCOUNT AT THE BOOK-ENTRY TRANSFER FACILITY AND COMPLETE THE FOLLOWING: | |
Name of Tendering
Institution_
_
|
||
Account
Number_
_
|
||
Transaction Code
Number_
_
|
||
o
|
CHECK HERE IF TENDERED SHARES ARE BEING DELIVERED PURSUANT TO A NOTICE OF GUARANTEED DELIVERY PREVIOUSLY SENT TO THE DEPOSITARY AND COMPLETE THE FOLLOWING: | |
Name(s) of Tendering
Stockholder(s)_
_
|
||
Date of Execution of Notice of
Guaranteed
Delivery_
_
|
||
Name of Institution which
Guaranteed
Delivery_
_
|
||
If delivery is by book-entry transfer: | ||
Name of Tendering
Institution_
_
|
||
Account
Number_
_
|
||
Transaction Code
Number_
_
|
3
Name |
Address: |
Name |
Address |
4
Name(s) |
Capacity (full title) |
Address |
Area Code and Telephone Number |
Name of Firm |
Address |
Authorized Signature |
Name |
Area Code and Telephone Number |
5
SUBSTITUTE FORM W-9 |
Part I Taxpayer Identification No. For All Accounts |
Part II For
Payees Exempt
From Backup |
|||||||
Department of the Treasury Internal Revenue Service Payers Request for Taxpayer Identification No. |
Enter your taxpayer identification number in the appropriate box. For most individuals and sole proprietors, this is your social security number. For other entities, it is your employer identification number. If you do not have a number, see How to Obtain a TIN in the enclosed Guidelines.
Note: If the account is in more than one name, see the chart in the enclosed Guidelines to determine what number to enter. |
Social Security Number OR Employee Identification Number |
Withholding
(see
enclosed Guidelines) |
||||||
Part III
Certification
Under penalties of perjury, I certify that: (1) The number shown on this form is my correct taxpayer identification number or I am waiting for a number to be issued to me; (2) I am not subject to backup withholding either because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and (3) I am a U.S. person (including a U.S. resident alien). |
|||||||||
Certification Instructions You must cross out item (2) above if you have been notified by the IRS that you are subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item (2) does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must provide your correct TIN. | |||||||||
SIGNATURE _
_
|
DATE _
_,
2007
|
||||||||
|
6
7
8
9