FORM OF CONFIRMATION OF RECEIPT OF NOTICE OF WITHDRAWAL
Confirmation of Receipt of Notice of Withdrawal
This Confirmation of Receipt of Notice of Withdrawal is related to the offer from FormFactor, Inc. to exchange
certain outstanding stock options under its Offer to Exchange Certain Outstanding Stock Options for New Stock
We have received your Notice of Withdrawal electing NOT to exchange some or all of your eligible stock
options as indicated in your Notice of Withdrawal.
Please note that you may change your election(s) at any time before 9 p.m. U.S. Pacific Time on
September 30, 2010 .
If you have any questions, please send an email to firstname.lastname@example.org.
SVP, Human Resources