Exhibit 10.67
FORM OF
AFFYMETRIX, INC.
NON-QUALIFIED STOCK OPTION AGREEMENT
This Non-Qualified Stock Option Agreement (the “Agreement”), is made and entered into between
AFFYMETRIX, INC., a Delaware corporation (the “Company”) and _______________ (“Optionee”) residing
at the above address.
THE PARTIES AGREE AS FOLLOWS:
1. Grant of Option. The Company hereby grants to the Optionee a Non-Qualified Stock Option (the
“Option”) to purchase common stock of the Company as specified below, subject to (i) the Terms and
Conditions of Grant attached as Exhibit A , and (ii) the Affymetrix, Inc. Amended & Restated 1996 Non-
Employee Directors Stock Option Plan (the “Plan”) incorporated herein by reference.
2. Definitions. As used in this Agreement, including the Terms and Conditions of Grant, the following
terms shall have the meanings set forth in this section 2.
Name
Option Number:
XXXXXX
Address1
ID:
XXXXXX
City, State, Zip Code
Plan:
Amended & Restated 1996 Non-
Employee Directors Stock Option Plan
2.1
Grant Date:
XXXXXX
2.2
Number of shares covered:
XXX
2.3
Option Termination Date:
XXXXXX
2.4
Exercise Price:
XXXXXX
2.5
Vesting Schedule:
As follows:
Shares
Vest Type
Full Vest
XXX
On Vest Date
XXXXXX
AFFYMETRIX, INC.
OPTIONEE
Company Representative
Name of Optionee
Date
Date
Exhibit A
AMENDED AND RESTATED 1996
NON-EMPLOYEE DIRECTORS STOCK OPTION PLAN OF
AFFYMETRIX, INC. (THE “PLAN”)
TERMS AND CONDITIONS OF GRANT
Tax Treatment
This option is intended to be a nonstatutory option, as provided in the Stock Option
Grant Agreement and the Plan.
Vesting
This option becomes vested, as shown in the vesting schedule set forth in the Stock
Option Grant Agreement.
No additional shares become exercisabl