In signing and submitting this form I acknowledge and agree to the previously listed
requirements and the following TERMS AND CONDITIONS:
This rebate is not applicable to previous purchases. Refurbished products do not apply. Make a photocopy of all materials
submitted for your records. Receipts may not be duplicated in an attempt to receive additional rebates. Any attempt to do so is
considered a fraudulent claim. This offer is valid for end users and is not available for distributors or resellers. Offer is good
while supplies last. Offer is subject to change without prior notice. Offer void where prohibited by law. Rebates are paid in U.S.
funds. Fujitsu and their fulfillment companies are not responsible for late, lost, mutilated, misdirected or postage-due requests.
Use of fictitious names or addresses could result in federal prosecution for U.S. Mail Fraud. Fujitsu reserves the right to deny
rebate claims if deemed fraudulent. Fraudulent claims will not be honored or acknowledged. Please allow 9 to 12 weeks for
delivery of rebate. If rebate is not received after 12 weeks, please call our rebate fulfillment company at
. Rebate
877-299-5445
offer expires if the rebate check is not cashed within 180 days of the check date, after which time Fujitsu will have no further
obligation to you. Fujitsu is not responsible for lost, destroyed, misdirected, postage due or delayed mail, or for any incorrect
information provided by you to Fujitsu.
Signature_______________________________________________Date____________________
Proof of WWAN Activation Confirmation
Please submit one of the following proof of WWAN Activation from AT&T:
1. A printout of the confirmation screen after Over The Internet (OTI) activation containing Device IMEI
number.
2. An email confirmation of WWAN activation from AT&T containing your new wireless number.