HOW TO BUY

	Downloads and Drivers
	Call 1-800-NET-3COM
	Locate a Reseller

PURCHASER INFORMATION

* Denotes mandatory field.

First Name:*
Last Name:*

Title:*
Company:*
Address 1:*
Address 2:
City:*
State:*
Postal Code:*
Country:*
E-mail:*
Telephone:*
(10 digits)

PRODUCT INFORMATION

Manufacturer:*
Model:*
Serial Number/s:*
Quantity:*

By checking this box I certify that I will destroy the systems referenced on this form and all associated software. I understand that to qualify tor 3Com Trade-Up Program discounts towards the purchase of eligible products, the equipment and associated software must be destroyed. Failure to do so may eliminate eligibility for future promotional programs from 3Com Corporation.

3COM PARTNER

Company Name:*

Your information is not complete. Please correct the errors in Red.