<PAGE>
EXHIBIT 4.3
FORM OF COMMON STOCK CERTIFICATE
This Certifies that _______________________________________________ is the
owner (SEE REVERSE FOR CERTAIN DEFINITIONS)
of ________________________ Shares of the Common Stock of fully paid and
non-assessable, transferable only on the books of the Corporation in person or
by Attorney, upon surrender of this Certificate properly endorsed.
In Witness Whereof, the said Corporation has caused this Certificate to be
signed by its duly authorized officers, and its Corporate Seal to be hereunto
affixed this ___________________________ day of __________________________ A.D.
19___.
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SECRETARY/TREASURER PRESIDENT
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REVERSE OF CERTIFICATE
The following abbreviations, when used in the inscription on the face of
this certificate, shall be construed as though they were written out in full
according to applicable laws or regulations:
<TABLE>
<S> <C>
TEN COM -- as tenants in common UNIF GIFT MIN ACT --............Custodian............under
TEN ENT -- as tenants by the entireties (Cust) (Minor)
JT TEN -- as joint tenants with right of survivorship Uniform Gifts to Minors Act................
and not as tenants in common (State)
Additional abbreviations may also be used though not in the above list.
</TABLE>
For Value Received, ________________ hereby sell, assign and transfer unto
PLEASE INSERT SOCIAL SECURITY OR OTHER
IDENTIFYING NUMBER OF ASSIGNEE
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Shares represented by the within Certificate, and do hereby irrevocably
constitute and appoint _______________________ Attorney to transfer the said
Shares on the books of the within named Corporation with full power of
substitution in the premises.
Dated _____________ 19__
In presence of
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NOTICE. THE SIGNATURE OF THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME AS
WRITTEN UPON THE FACE OF THE CERTIFICATE, IN EVERY PARTICULAR, WITHOUT
ALTERATION OR ENLARGEMENT, OR ANY CHANGE WHATEVER.
<PAGE>
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PASTE CANCELLED CERTIFICATE IN THIS SPACE
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CERTIFICATE No._____________
FOR _____________________________________________________________________ SHARES
ISSUED TO
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DATED ____________________________________________________________________ 19__
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TRANSFER FROM ORIGINAL ISSUE BELOW
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FROM WHOM TRANSFERRED:
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DATED ____________________________________________________________________ 19__
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NO. OF SHARES
NO. ORIGINAL CERTIFICATE NO. ORIGINAL SHARES TRANSFERRED
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RECEIVED CERTIFICATE No._____________
FOR _____________________________________________________________________ SHARES
THIS _______________ DAY OF ________________ _____________________ 19__________
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TRANSFER DETAILS FOR SURRENDERED CERTIFICATES
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NO. OF SHARES NO. OF NEW
NEW CERTIFICATES ISSUED TO: TRANSFERRED CERTIFICATES
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