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EXHIBIT 99.11
FORM OF ENROLLMENT/CHANGE FORM
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LEGACY SOFTWARE, INC.
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
ACTIONS 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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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: ____ %
ENROLLMENT / / _________, 199__ of base salary*
/ / _________, 199__
* Must be a multiple of 1% up to
a maximum of 15% of base salary
/ / Initial Offering Period -- ______, 1996
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SECTION 4: Effective with the I authorize the
PAYROLL Pay Period Beginning: ___________________ following new level of
DEDUCTION Month, Day and Year payroll deduction: ____%
CHANGE of base salary*
* Must be a multiple of
1% up to a maximum of
15% 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
TERMINATE Pay Period Beginning: ___________________ your payroll deductions
PAYROLL Month, Day and Year for the balance of the
DEDUCTIONS 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
prior to the start of a
new offering period.
Your ESPP payroll deductions collected to date for the purchase
interval in which you file this termination notice will
automatically be refunded to you.
NOTE: If your employment terminates for any reason or your
eligibility status changes (<20 hrs/wk or <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 an approved leave of absence, I elect the
LEAVE OF following action regarding my ESPP payroll deductions to date in the
ABSENCE current purchase interval:
/ / Purchase shares of Legacy Software, Inc. on the next scheduled
purchase date
OR
/ / Refund ESPP payroll deductions collected
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SECTION 7:
AUTHORIZATION
I hereby authorize the specific action or actions indicated above.
_______________________ _____________________________
Date Signature of Employee
