EX-99.2 5 d47142a1exv99w2.htm FORM OF ELECTION - COMMON STOCK exv99w2
 

Exhibit 99.2

 

To make a valid election, this form must be received by [Name of Paying Agent] no later than 5:00 p.m., New York City time, on           , 2007.
 
 
Form of Election
Return this form to
[Name of Paying Agent] as follows:

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By Mail:   By Hand:   By Overnight Delivery:
[Name of Paying Agent]
[Address]
[Address]
[Address]
  [Name of Paying Agent]
[Address]
[Address]
[Address]
  [Name of Paying Agent]
[Address]
[Address]
[Address]
1. About You and Your Shares – INDICATE ADDRESS CHANGE AS NECESSARY BELOW.
     
CCU Account Number:    
     
Certificate Number:   Number of Shares Evidenced by Certificate:
Total Shares:                                         
2. Type of Election and Required Signatures COMPLETE A & B – REVIEW INSTRUCTIONS BEFORE COMPLETING.
A) Type of Election:
     Number of Shares:                                         
           
 
o 1.
    Cash Election: Exchange the number of shares of CCU common stock set forth directly above for all cash.  
 
     Number of Shares:                                         
           
 
o 2.
    Stock Election: Exchange the number of shares of CCU common stock set forth directly above for shares of Holdings Class A common stock, subject to adjustment, proration and cutback pursuant to the individual cap, with cash in lieu of fractional shares.  
 
B) Required Signatures ALL CCU SHAREHOLDERS MUST SIGN BELOW.
         
     
Signature of Stockholder
  Date    
 
       
     
Signature of Stockholder
  Date    
 
       
     
Area Code and Daytime Phone