:p.:hp2.       IBM Lotus Notes Product Fulfillment Form
 
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:p.This form is intended for:
 1.  IBM PC Server customers who did not receive a Lotus Notes V4.1
     package with their PC Server(s) on or after June 18, 1996.
 2.  Customers eligible to receive North American Notes, or customers
     using Solaris 2.5 with their PC Servers.
 3.  IBM remarketers who have PC Servers in their inventory to be
     sold to end-users on or after June 18, 1996.
 Complete this form to receive your copy of Lotus Notes V4.1 at no
 additional charge.
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              This offer is valid through December 31, 1996.
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  ___________________________________________________________________
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 |                                                                   |
 | Requirements:                                                     |
 | note: All requirements must be completed in order to process      |
 |       your request.                                               |
 |                                                                   |
 | 1. Photo copy of your dated IBM PC Server sales receipt.          |
 | 2. Record your IBM PC Server system serial number _____________   |
 |    (7-digit number located on back of system unit above the bar   |
 |    code label)                                                    |
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 | 3. Record your:  IBM Machine Type (four digit, ie 8640) _____     |
 |                  Model Number (three character, ie EE1) _____     |
 | 4. Please check as appropriate:                                   |
 |    a)  Did you receive Notes 4.1 with your server?   Y__  N__     |
 |    b)  Do you require one of the following:                       |
 |        __ North American Notes 4.1*                               |
 |        __ North American Notes for Solaris 2.5*                   |
 |        __ International Notes for Solaris 2.5                     |
 |   (*)  Only available to US and Canadian customers                |
 |                                                                   |
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 | Contact Name ___________________________________________________  |
 | Company Name ___________________________________________________  |
 | Street Address _________________________________________________  |
 | (No PO Boxes)                                                     |
 | City____________________ State_______________Country____________  |
 | Phone (   )_____________ FAX (   )_______________                 |
 |                                                                   |
 | Signature _______________________________                         |
 |___________________________________________________________________|
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 In the U.S., Canada, and Latin America:
 
 FAX the completed order form and required information to: 1-317-364-8888
                          (OR)
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 MAIL the completed order form and required information to:
                                     IBM Lotus Notes Program
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                                     P.O. Box 4100
                                     Crawfordsville, Indiana 47933
                          (OR)
 TELEPHONE 1-800-690-3908 to place your order (US & Canada only)
 
           Allow 10-15 working days for delivery
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