Data Site Access Request

preferred contact method

beneficial ownership of the notes

If you currently are a beneficial owner of the Notes (or a representative acting on behalf of a beneficial owner), please indicate below the aggregate principal amount of Notes held and check boxes for the related CUSIP/ISIN:

8.000% Senior Notes due 2029

please check boxes for those items that apply to you:

By requesting access to the Data Site, you represent and warrant to the Company as follows:

• (1)

  You are the beneficial owner, or are acting on behalf of a beneficial owner, of the Notes in the amount set forth above.
• (2)

  You are, or in the event that you are acting on behalf of a beneficial owner of the Notes, you have received a written certification from such beneficial owner (dated as of a specific date on or since the close of such beneficial owner’s most recent fiscal year) to the effect that such beneficial owner is, one of the following (as indicated with a checkmark):
  • a “qualified institutional buyer” (or “QIB”) as defined in Rule 144A under the Securities Act;
  • not a “U.S. person” as defined in Rule 902 of the Securities Act; or
  • a dealer or other professional fiduciary organized, incorporated or (if an individual) resident in the U.S. holding a discretionary account or similar account (other than an estate or trust) for the benefit or account of a non-U.S. person as contemplated by Rule 902 of the Securities Act.
• (3)

  You are a bona fide prospective investor in the Notes and are one of the following (as indicated with a checkmark):
  • a QIB as defined in Rule 144A under the Securities Act;
  • not a “U.S. person” as defined in Rule 902 of the Securities Act; or
  • a dealer or other professional fiduciary organized, incorporated or (if an individual) resident in the U.S. holding a discretionary account or similar account (other than an estate or trust) for the benefit or account of a non-U.S. person as contemplated by Rule 902 of the Securities Act.
• (4)

  You are a bona fide securities analyst providing an analysis of an investment in the Notes.
• (5)

  You are a bona fide market maker in the Notes.

you must check each of the following boxes

• (1)
  You will not use any information contained in the Data Site or transmitted through the Company’s quarterly conference call (“Company information”) in violation of applicable securities laws and regulations.
• (2)
  Other than in the case of securities analysts, you will keep all Company information confidential.
• (3)
  You are not a competitor, customer or supplier of the Company or any of the Company’s subsidiaries.
• (4)
  You will not use the Company information in any manner intended to compete with the business of the Company or any of the Company’s subsidiaries.

• you are providing the information contained in this application solely for purposes of enabling the Company to provide access to certain information regarding the Company;
• the Company expressly reserves the right to deny access to any person who submits this application if the Company is not satisfied that such person meets the stated requirements;
• this application is neither an offer to purchase, or exchange any securities, including the Notes, nor does it create any obligations whatsoever on the part of the Company or you to sell or purchase any securities;
• the Company is providing access to the Data Site on condition that the representations and warranties made to the Company in this application are true and correct;
• accessing the Data Site and/or obtaining information from the Company under false pretenses constitutes a misappropriation of the Company’s confidential information in violation of law;
• the Company reserves the right to take any and all appropriate legal action with respect to any person who makes any false representation or warranty to the Company for the purpose of accessing Data Site, including any appropriate remedies available in equity or at law;
• the Company may revoke access to the Data Site at any time in its sole discretion if the Company believes that any of the representations and warranties made in this application are false in any respect; and
• you will notify the Company if any of the representations you have made in this application cease to be correct.

Submit