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EXHIBIT 99.12
PACKETEER, INC.
EMPLOYEE STOCK PURCHASE PLAN ("ESPP")
ENROLLMENT/CHANGE FORM
SECTION 1: Action Complete Sections:
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New Enrollment 2, 3, 7 and sign attached Stock Purchase
ACTION Agreement
[ ] Change Payroll Deduction 2, 4, 7
[ ] Terminate Payroll Deductions 2, 5, 7
[ ] Leave of Absence 2, 6, 7
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SECTION 2:
PERSONNEL Name
DATA -------------------------------------------------------------------------------------------
Last First MI Dept.
Home Address
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Street
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City State Zip Code
Social Security #
- -
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SECTION 3: Effective with the Purchase Payroll Deduction Amount: __________ %
Interval Beginning: of cash earnings*
NEW * Must be a multiple of 1% up to a
ENROLLMENT [ ] February 1, ______ maximum of 15% of cash earnings
[ ] August 1, ______
[ ] Initial Offering Period
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SECTION 4: Effective with the I authorize the following new level
Pay Period Beginning: of payroll deduction: ______________%
of cash earnings*
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Month, Day and Year * Must be a multiple of 1% up to a
maximum of 15% of cash earnings
CHANGE
PAYROLL
DEDUCTIONS NOTE: You may reduce your rate of payroll deductions once per 6-month purchase
interval to become effective as soon as possible following the filing of
the change form. You may also increase your rate of payroll deductions to
become effective as of the start date of the next 6-month purchase interval
(first business day of February or August).
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SECTION 5: Effective with the
Pay Period Beginning:
Your election to terminate
TERMINATE ---------------------------------------- your payroll deductions cannot
PAYROLL Month, Day and Year be changed, and you may not
DEDUCTIONS rejoin the offering period
unless you re-enroll before a
new semi-annual purchase date.
If you do so, you will be
granted a new purchase right
with a purchase price based
upon the value of the common
stock on your new entry date.
In connection with my voluntary termination of payroll deductions, I elect the following
action regarding my ESPP payroll deductions to date in the current six (6)-month purchase
interval:
[ ] Purchase shares of Packeteer, Inc. at end of the interval
OR
[ ] Refund ESPP payroll deductions collected
NOTE: If your employment terminates for any reason or your eligibility status changes
(less than 20 hrs/week or less than 5 months/year), you will immediately cease
to participate in the ESPP, and your ESPP payroll deductions collected in that
purchase interval will automatically be refunded to you.
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SECTION 6: In connection with my unpaid leave of absence, I elect the following action with respect to
my ESPP payroll deductions to date in the current purchase interval:
LEAVE OF [ ] Purchase shares of Packeteer, Inc. at end of the interval
ABSENCE
OR
[ ] Refund ESPP payroll deductions collected
NOTE: If you take an unpaid leave of absence, your payroll deductions will immediately
cease. Upon your return to active service within 90 days after the start of your
leave, your payroll deductions will automatically resume at the rate in effect
for you when you went on leave.
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SECTION 7:
AUTHORIZATION I HEREBY AUTHORIZE THE SPECIFIC ACTION OR ACTIONS INDICATED ABOVE.
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Date Signature of Employee
