ther is a dochtml October 25, 2004 - EXHIBIT 4.3 - S-8: Initial registration statement for securities to be offered to employees pursuant to employee benefit plans | Microchip Technology Incorporated (MCHP)

Form: S-8

Initial registration statement for securities to be offered to employees pursuant to employee benefit plans

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:    
   





Social Security Number:

 

 

Date of Hire:

 

 
 
   

SECTION I—ELECTION

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 II—BENEFICIARY

Beneficiary(ies)—List additional beneficiaries on back   Relationship of Beneficiary(ies)

 

 

 

 

 

 

 

 

 

 

 

 

SECTION III—WITHDRAW 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.



Signature of Employee

 


Date



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MICROCHIP TECHNOLOGY INCORPORATED International Employee Stock Purchase Plan Change Form