<p> Dell/American Express Business Savings Discount Scheme Mail-in Rebate Redemption Form</p><p>Congratulations on the purchase of your new Dell System. </p><p>If you have any questions related to this rebate, please go online to www.dell.co.uk/amexsavings</p><p>TO RECEIVE YOUR MAIL-IN REBATE:</p><p>1. PLEASE TICK THE RELEVANT REBATE THAT APPLIES TO YOUR ORDER</p><p> £65 REBATE – for an order purchase valued between £1000 and £1500 excl. VAT and delivery</p><p> £110 REBATE – for an order purchase valued between £1501 and £2000 excl. VAT and delivery</p><p> £150 REBATE – for an order purchase valued between £2001 and more excl. VAT and delivery </p><p>2. Complete this form. You must sign the agreement below.</p><p>3. Mail this completed form, along with your system packing slip, to the address listed below. Your packing slip is attached to the box in which your new system ships. Your request must be postmarked within 2 months of the system shipment date. Please allow 8-10 weeks for processing. If you need another copy of this form, you can download it from www.dell.co.uk/amexsavings</p><p>Mail this form to the following address: </p><p>Dell American Express Mail - In Rebate, CPG Dept American Express 95 Wilton Road, Victoria, London SW1V 1BZ</p><p>Please fill in the following:</p><p>Name______Company Name______Address______Town/City______Post Code______Telephone : ______Dell Order No.(begins with 33”)______American Express Business Card No______In signing and submitting this rebate form, you acknowledge and agree to the following Terms and Conditions:</p><p>The Dell/American Express Mail-In Rebate offer is valid only to eligible to American Express Business Card holders of UK companies. Rebates are valid within the relevant price bands. Not valid for refurbished products purchased through Dell Outlet. Purchase must be made with American Express Business Card. Rebate Request form must be fully completed and must include a copy of dated packing slip for purchase made direct from Dell for qualifying product. Keep copies of all materials sent. Materials received become the property of Dell and will not be returned. One rebate per qualifying order purchase over a 3 month period. Dell is not responsible for lost, late, or misdirected mail. Request must be postmarked within 2 months of the system shipment date. Any claims postmarked after this date will not be processed. If terms and conditions are not met, rebate will not be sent. Please allow 8-10 weeks for receipt of cheque. Rebate cheques are void if not cashed within 90 days of issuance and cannot be reissued. To qualify for this rebate you must be a legal UK resident 18 years of age or older. Only actual purchaser of the qualifying products may participate in this rebate program. Rebates will not be paid on systems that are returned to Dell. Availability and terms of offer may change without notice. </p><p>Signature ______Date ______</p><p>Printed Name ______</p><p>Rev 21st November 2002</p>