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EXHIBIT 99.3
Giga-tronics Incorporated Employee Stock Purchase Plan Enrollment/Change Form
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EMPLOYEE STOCK PURCHASE PLAN ("ESPP")
ENROLLMENT/CHANGE FORM
ACTION COMPLETE SECTIONS:
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[SECTION 1:] [ ] New Enrollment 2, 3, 7 and sign attached
ACTION Stock Purchase Agreement
[ ] Change Payroll Deductions 2, 4, 7
[ ] Terminate Payroll Deductions 2, 5, 7
[ ] Leave of Absence 2, 6, 7
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[SECTION 2:] Name _______________________________________________________________________________________
PERSONNEL Last First MI Dept.
DATA
Home Address _______________________________________________________________________________
Street
____________________________________________________________________________________
City State Zip Code
Social Security #: [ ][ ][ ] - [ ][ ] - [ ][ ][ ][ ]
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[SECTION 3:] Effective with the Purchase
NEW Interval Beginning: Payroll Deduction Amount _____% of base salary*
ENROLLMENT [ ] March 1, 199__
[ ] September 1, 199__ * Must be a multiple of 1% up to a maximum of 10% of
base salary
[ ] Initial Offering Period
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[SECTION 4:] Effective with the I authorize the following new level of payroll
CHANGE Pay Period Beginning: _______________________ deductions: ____% of base salary*
PAYROLL Month, Day and Year
DEDUCTIONS * Must be a multiple of 1% up to a maximum of 10% of
base salary
NOTE: You may reduce your rate of payroll deductions once per 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 purchase interval.
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[SECTION 5:] Effective with the Your election to terminate your payroll deductions for the
TERMINATE Pay Period Beginning: _______________________ balance of the offering period cannot be changed, and you may
PAYROLL Month, Day and Year not rejoin the offering period at a later date. You will not
DEDUCTIONS be able to resume participation in the ESPP until a new purchase
interval begins.
In connection with my voluntary termination of payroll deductions, I elect the following action with respect to my
ESPP payroll deductions to date in the current purchase interval:
[ ] Purchase Giga-tronics shares 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/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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[SECTION 6:] In connection with my unpaid leave of absence, I elect the following action with respect to my ESP payroll
deductions to date in the current purchase interval:
LEAVE OF
ABSENCE
[ ] Purchase Giga-tronics shares at end of the interval
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, your payroll deductions will automatically resume at the rate in effect for you at the time you went on
leave.
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[SECTION 7:]
AUTHORIZATION
I hereby authorize the specific action or actions indicated above.
__________________________ ____________________________________________________________
Date Signature of Employee
