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EXHIBIT 99.13
BROADCOM CORPORATION
1998 EMPLOYEE STOCK PURCHASE PLAN ("ESPP")
ENROLLMENT/CHANGE FORM
SECTION 1 Action Complete Sections:
[ ] New Enrollment 2, 3, 6, 7 and sign
attached Stock Purchase
Agreement
Payroll Deduction Change 2, 4, 7
Terminate Payroll Deductions 2, 5, 7
Leave of Absence 2, 6, 7
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Name _________________________________________________________
Last First MI Dept.
Home Address _________________________________________________
Street
______________________________________________________________
City State Zip Code
Social Security #:________-________-_________
Effective with the Purchase
Interval Beginning: Payroll Deduction Amount:
_____% of cash earnings*
May 1, 199
November 1, 199__ * Must be a multiple of 1%
Initial Offering Period up to a maximum of 15% of
cash earnings
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Effective with the I authorize the following new
Pay Period Beginning:_____________________ level of payroll deduction:
Month, Day and Year ____% of cash earnings*
* Must be a multiple of 1%
up to a maximum of 15% of
cash earnings
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 (May 1 or
November 1).
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Effective with the Your election to terminate
Pay Period Beginning:____________ your payroll deductions for
Month, Day and Year the balance of the offering
period cannot be changed, and
you may not rejoin the
offering period at a later
date. You will not be able
to resume participation in
the ESPP until the start of
the next offering period.
In connection with my voluntary termination of payroll deductions (or an
approved leave of absence), I elect the following action regarding my ESPP
payroll deductions to date in the current purchase interval:
[ ] Purchase shares of Broadcom Corporation on next scheduled purchase date
OR
[ ] Refund ESPP payroll deductions collected
NOTE: If your employment terminates for any reason or your eligibility
status changes (less than 20 hrs/wk or less than 5 months/yr), 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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In connection with my leave of absence, I elect the following action
with respect to my ESPP payroll deductions to date:
Purchase shares of Broadcom Corporation on next scheduled purchase
date
OR
Refund ESPP payroll deductions
NOTE: If you take an unpaid leave of absence, your payroll deductions will
immediately cease. If you return to active status within 90 days
after the start of your leave, your payroll deductions will at that
time automatically resume at the rate in effect for you when your
leave began.
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[ ] My certificate will be issued in street name and delivered to the
brokerage account designated by Broadcom Corporation
______________________________ ____________________________________
Date Signature of Employee
