EXHIBIT 4.3
Published on October 25, 2004
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Exhibit 4.3
MICROCHIP TECHNOLOGY INCORPORATED
International Employee Stock Purchase Plan
Change Form
Please print and complete all information below:
| Full name: | Badge #: | ||||||
| Last | First | M | |||||
| Home Address: | ||
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Social Security Number: |
Date of Hire: |
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SECTION IELECTION
Change Payroll Deduction Percentage:
o I hereby authorize Microchip Technology Incorporated to change my current deduction percentage to the following:
CIRCLE ONE: 1% 2% 3% 4% 5% 6% 7% 8% 9% 10%
SECTION IIBENEFICIARY
| Beneficiary(ies)List additional beneficiaries on back | Relationship of Beneficiary(ies) | |
SECTION IIIWITHDRAW FROM THE EMPLOYEE STOCK PURCHASE PLAN (check one)
o Stop my contributions and purchase the Microchip Technology Incorporated shares on the next purchase date.
o Stop my contributions and refund my payroll Employee Stock Purchase Plan deductions collected.
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Signature of Employee |
Date |
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MICROCHIP TECHNOLOGY INCORPORATED International Employee Stock Purchase Plan Change Form