Dell Business Internet

Small Business $80 Mail-In Rebate Form

Congratulations on the purchase of your new High-Speed Internet Service through Dell Business Internet in the Small and Medium Business Group.

TO RECEIVE YOUR DELL MAIL-IN REBATE:

1. Register for a Dell Business Internet Small Business service (Cable, DSL, Satellite, SDSL) during valid mail-in rebate offer period (April 1, 2004 – July 31, 2004). Activate service within 30 calendar days of selection to qualify for the $80 Dell mail-in rebate.

2. Complete this form. You must sign the agreement below and mail to address listed below.

3. Mail a copy of your first month’s High-Speed Internet bill, to the address listed below. High-Speed Internet bill must include your name, address and invoice date. Your request must be postmarked within 45 calendar days of High-Speed Internet activation. Rebate checks are ordinarily processed within 8-10 weeks.

Mail to:

Dept # 41639

Dell Business Internet Small Business $80 Rebate

P.O. Box 52900

Phoenix, AZ 85072-2900

Date ______

End User Name ______

Company Name ______

Installation Address ______

City ______State ______Zip ______

Phone Number at Installation Address ______

Contact Phone Number ______

End User E-mail Address ______

In signing and submitting this rebate form, you acknowledge and agree to the following Terms and Conditions:
Dell Business Internet Promotion offer valid only with High-Speed Internet access ordered through Dell Small or Medium and Large Business Co. between April 1, 2004 and July 31, 2004. No system purchase required. Rebate check amount is $80 on all Dell Business Internet Small Business services. Go to www.dell.com/businessbroadband to check broadband availability. U.S. new account members only. Customer must select high-speed Internet service through Small or Medium and Large Business, activate service within 30 calendar days of selection, and submit required documents within 45 calendar days of activation. Request form must be fully completed and must include proof of activation -- first month’s high-speed Internet bill. While supplies last and no substitutions or rainchecks. Offer may not be combinable with all other offers or discounts available from Dell Home Systems Co. Keep copies of all materials sent. Materials received become the property of Dell and will not be returned. One rebate per qualifying purchase. Dell is not responsible for lost, late, or misdirected mail. Request must be postmarked within 45 calendar days of activation. Any claims postmarked after 45 calendar days of high-speed Internet activation date will not be processed. If terms and conditions are not met, rebate will not be sent. Rebate checks are ordinarily processed within 8-10 weeks. Rebate checks are void if not cashed within 90 days of issuance and cannot be reissued. To qualify for this rebate you must be a legal U.S. resident 18 years of age or older. Only actual purchaser of the qualifying products may participate in this rebate program. Requests from group or organizations will not be honored. Void where prohibited or restricted by law. Availability and terms of offer may change without notice.

Signature Date

Printed Name

Track the status of your rebate application 3-4 weeks after mailing at www.rebatestatus.com.

If you have not received your rebate check after 10 weeks, please call 1-866-842-3616. Additional copies of this form are available at www.dell.com/businessbroadband