EX-99.(A).(1).(G) 8 a09-26538_1ex99dad1dg.htm EX-99.(A).(1).(G)

Exhibit 99.(a).(1).(G)

 

XETA Technologies

Stock Option Exchange Program

Election Confirmation

 


 

Please print your confirmation page and retain it for your records.

 

XETA has received your Election Form which shows you have made the following selections:

 

Confirmation #: 0000000000

 

Date: [Month] [Day] 2009 00:00    m

 

 

NAME

ADD

CITY, STATE ZIP

 

Selected

 

Plan under which
Eligible Options

 

Grant

 

Exercise

 

# of
Eligible

 

Status of Eligible
Options

 

Expiration

 

Option

 

were Granted

 

Date

 

Price

 

Options

 

Vested

 

Unvested

 

Date

 

Exchange

 

TEST123

 

0000-00-00

 

$

0.00

 

000

 

0

 

0

 

0000-00-00

 

Do Not Exchange

 

TEST134

 

0000-00-00

 

$

0.00

 

000

 

0

 

0

 

0000-00-00

 

 

You may change or withdraw this election any time before the Exchange Program expires.  To do so, log back into the Exchange Program website and follow the Withdrawal Instructions.   When you access your Election Form to change or withdraw your previous election, you will need to re-enter your selections for each of the option grants listed—not just those you wish to change or withdraw.

 

Please note that our receipt of your Election Form is not by itself an acceptance of your Eligible Option for exchange.  We will be deemed to have accepted your Eligible Option for exchange when we have determined that the Eligible Option was validly tendered and not properly withdrawn, and we give you written notice that we have accepted such Eligible Option for exchange.  Such notice may be made by email or other method of communication at our discretion.

 

The last Election Form properly submitted by you and received by us prior to the Exchange Program deadline will prevail.