EXHIBIT 99.12
DIGITAL ISLAND, INC.
EMPLOYEE STOCK PURCHASE PLAN ("ESPP")
ENROLLMENT/CHANGE FORM
SECTION 1: Action Complete Sections:
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ACTION [_] New Enrollment 2, 3, 7 and sign attached Stock Purchase Agreement
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[_] Change Payroll Deduction 2, 4, 7
[_] Terminate Payroll Deductions 2, 5, 7
[_] Leave of Absence 2, 6, 7
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SECTION 2: Name
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PERSONNEL Last First MI Dept.
DATA
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
--------- Interval Beginning: Payroll Deduction Amount: __________ % of base
salary.*
NEW ENROLLMENT [_] August 1, ______ * Must be a multiple of 1% up to a maximum of
[_] February 1, ______ 15% of base salary.
[_] Initial Offering Period
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SECTION 4:
--------- I authorize the following new level of
Effective with the payroll deduction:
CHANGE Pay Period Beginning:_______________________________________ ______________% of base salary.*
PAYROLL Month, Day and Year
DEDUCTIONS
* 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 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 your payroll
Month, Day and Year deductions for the balance of the offering
TERMINATE period cannot be changed, and you may not
PAYROLL rejoin that offering period at a later date.
DEDUCTIONS You will not be able to resume participation in
the ESPP until the start of a new offering
period.
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 Digital Island, 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 Digital Island, 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:
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AUTHORIZATION I hereby authorize the specific action or actions indicated above.
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Date Signature of Employee