Exhibit 10.5

 

NCR BOARD OF DIRECTORS

PAYMENT ELECTION FOR DIRECTOR PAY

 

As provided in the NCR Directors Compensation Program, I hereby elect to receive
my annual retainer and meeting fees earned after January 1, 2005,* as follows:

 

• In cash payable in quarterly installments as earned under the program.

 

• In shares of NCR common stock, payable at the same time(s) as the cash
retainer.

 

• 50% in cash and 50% in shares of NCR common stock, payable at the same times
as the cash retainer.

 

• As a Deferred Stock Award, with the deferred amounts paid at the following
time(s):

 

  • on the date of my termination as a Director (or such later date as may be
required under applicable regulations); or

 

  • in          one,          two,             three,             four, or
            five (check one option) annual installment(s), beginning on the
April 30 following my termination as a Director (or such later date as may be
required under applicable regulations).

 

  Note: If a “rolling” distribution with a separate schedule for each year’s pay
is desired, please contact NCR’s Executive Compensation department for
additional deferral options.

 

As provided in the NCR Directors Compensation Program, I hereby elect to receive
any annual stock grants earned after January 1, 2005,** as follows:

 

  • In current shares of NCR common stock.

 

  • As a Deferred Stock Award, payable at the time(s) elected above.

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* This election form supersedes all previous forms completed by me, and will
remain in effect until a new form is completed by me at a later date.

** This election applies to the deferral of any portion of my 2004 annual
retainer/fees earned in 2005, and supersedes any prior elections of such portion
of my retainer/fees.

 

 

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Signature   Date

 

THIS FORM MUST BE RETURNED BY DECEMBER 31, 2004.