MUST PRINT CLEARLY IN CAPITAL LETTERS Name: Title: Company Name: Address: City: State: Zip code: E-mail (for notification): Phone: with the purchase of an eligible HP LaserJet or Color LaserJet printer and one compatible HP LaserJet print cartridge. Offer valid: 1/01/10 – 3/31/10 SOURCE CODE: A qThis completed coupon qOriginal or copy of invoice(s), receipt(s) or packing list(s) for all qualifying products, dated between January 1 – March 31, 2010 with the purchase price(s) circled Please check your type of business: qOriginal UPC label from each qualifying product box (one from each purchased product) q q q q q q q q q q q Please indicate which qualifying products correspond with your purchase List products here (e.g., Q6463A) Where did you purchase your products? What is your company site size? Did you purchase your supplies because of this promotion? q Yes q No q Planning to purchase anyway Accounting q Banking Communications q Computer products Education q Government Healthcare q Hospitality Insurance q Legal Manufacturing q Marketing Personal (or home office) Printing and publishing Real estate q Retail Transportation q Utilities Other (please specify) How did you learn about this promotion? q q q q q q q q HP authorized reseller Dealer email Dealer website Fax Monthly catalog or flyer Telemarketing Tradeshow Other (please specify) #1 Brand in Toner is the #1 Value Thank you for your business! © Copyright 2009 Hewlett-Packard Development Company. L.P. The information contained herein is subject to change without notice. Receive: Your rebate as specified. Allow 8 – 10 weeks for processing. If terms and conditions are not met, rebate will not be sent. Claims postmarked or received after applicable dates and incomplete or illegible submissions will be returned as ineligible. HP is not responsible for any claims lost, damaged or delayed in transit. Rebate will not be reissued. General terms and conditions: $20 mail-in rebate is good on bundle purchases of an eligible HP LaserJet or Color LaserJet printer and ONE compatible HP LaserJet print cartridge made while on promotion from January 1 – March 31, 2010. Products purchased before or after these dates are not eligible for this offer. Offer is not valid for refurbished or demo HP products. Purchase date is determined by invoice or receipt date. HP product may not be returned for refund once the mail-in coupon and UPC code have been submitted. Request must be postmarked within 45 days of purchase date. This offer may not be combined with other national commercial HP offers of the same time period. Offer is capped at one (1) $20 rebate per printer purchase, with five (5) $20 rebates total per qualifying customer, household or business. Keep copies of materials submitted; originals become HP property and will not be returned. HP reserves the right to request additional information regarding this claim. False information disqualifies this claim, making it subject to review under U.S. Postal Regulations. Violators may be prosecuted. Offer is limited to product on hand and NO substitutions with other products are eligible. Only purchases made by an end-user customer or a commercial business from an authorized HP reseller in the United States are valid. Purchases by HP resellers and internal HP orders are ineligible. Offer void where prohibited, taxed or restricted by law. If you have any questions regarding this offer, please call HP and Compaq Rebate Center at 1-888-385-5410. HP and HP logo are trademarks of Hewlett-Packard Development Company, L.P. Please recycle your cartridges. Visit www.hp.com/recycle for more information. E To qualify for this offer, you must include: PL Did you choose HP over another manufacturer because of this promotion? q Yes q No q If yes, which other manufacturer? Mail to: HP Toner - $20 mail-in rebate Offer: #T204 P.O. Box: 753998 El Paso, TX: 88575-3998 M Mail-in offer checklist REQUESTS MUST BE POSTMARKED WITHIN 45 DAYS OF PURCHASE. SA Receive a $20 mail-in rebate with the purchase of an eligible HP LaserJet or Color LaserJet printer and one compatible HP LaserJet print cartridge during the promotion period at the same time on the same invoice. q 1–9 q 10–99 q100–499 q 500–999 q1,000–4,999 q 5,000–9,999 q 10,000 or more The data received by HP will only be used to confirm PROOF OF ELIGIBILITY. HP holds such information in accordance with HP’s privacy policies (See http://welcome.hp.com/country/us/en/privacy.html). The UPC label is located on the side of your HP product box. The label shown is an example. National Promotion Program Eligible SKUs Offer: Buy an eligible HP LaserJet or Color LaserJet printer and one compatible HP LaserJet print cartridge to receive a $20 mail-in rebate. Program # T204 (Effective January 1 – March 31, 2010) HP LaserJet Cartridge SKUs Mono SKUs C8543X HP CB435A HP CB435AD HP CB436A HP CC364A HP CC364X HP CC364XD HP CE255A HP CE255X HP CE505A HP CE505X HP Q2612A HP Q2612AD HP Q5945A HP Q7516A HP Q7551A HP Q7551X HP Q7551XD HP Q7553A HP Q7553X HP Q7553XD HP Q7570A HP LaserJet LaserJet LaserJet LaserJet LaserJet LaserJet LaserJet LaserJet LaserJet LaserJet LaserJet LaserJet LaserJet LaserJet LaserJet LaserJet LaserJet LaserJet LaserJet LaserJet LaserJet LaserJet 9050/9040 Series, 9040mfp, 9050mfp P1005/P1006 printer P1005/P1006 printer P1505/M1522n/M1522nf MFP printers P4014/P4015/P4515 Series P4015/P4515 Series P4015/P4515 Series P3015 series P3015 series P2035 and P2055 Series P2055 Series M1319f MFP M1319f MFP 4345mfp / M4345 mfp 5200 Series M3035/M3027 MFP series M3035/M3027 MFP series M3035/M3027 MFP series P2015 series, M2727nf MFP P2015 series, M2727nf MFP P2015 series, M2727nf MFP M5035/M5025 MFP Series Color SKUs C9730A HP Color LaserJet 5550 Series C9731A HP Color LaserJet 5550 Series C9732A HP Color LaserJet 5550 Series C9733A HP Color LaserJet 5550 Series CB380A HP Color LaserJet CP6015 CB381A HP Color LaserJet CP6015/CM6030 MFP/CM6040 MFP CB382A HP Color LaserJet CP6015/CM6030 MFP/CM6040 MFP CB383A HP Color LaserJet CP6015/CM6030 MFP/CM6040 MFP CB390A HP Color LaserJet CM6030/CM6040 MFP CB540A HP CLJ CP1215/CP1515n/CP1518ni/CM1312 MFP Series CB540AD HP CLJ CP1215/CP1515n/CP1518ni/CM1312 MFP Series CB541A HP CLJ CP1215/CP1515n/CP1518ni/CM1312 MFP Series CB542A HP CLJ CP1215/CP1515n/CP1518ni/CM1312 MFP Series CB543A HP CLJ CP1215/CP1515n/CP1518ni/CM1312 MFP Series CC530A HP CLJ CP2025 and CM2320 MFP CC530AD HP CLJ CP2025 and CM2320 MFP CC531A HP CLJ CP2025 and CM2320 MFP CC532A HP CLJ CP2025 and CM2320 MFP CC533A HP CLJ CP2025 and CM2320 MFP CE256A HP CLJ CP1215/CP1515n/CP1518ni/CM1312 MFP Series CE250A HP CLJ CP3525 and CM3530 MFP CE250X HP CLJ CP3525 and CM3530 MFP CE251A HP CLJ CP3525 and CM3530 MFP CE252A HP CLJ CP3525 and CM3530 MFP CE253A HP CLJ CP3525 and CM3530 MFP CE260A HP Color LaserJet CP4025/CP4525 CE260X HP Color LaserJet CP4525 CE261A HP Color LaserJet CP4025/CP4525 CE262A HP Color LaserJet CP4025/CP4525 CE263A HP Color LaserJet CP4025/CP4525 Q6460A HP Color LaserJet 4730mfp/CM4730mfp Q6461A HP Color LaserJet 4730mfp/CM4730mfp Q6462A HP Color LaserJet 4730mfp/CM4730mfp Q6463A HP Color LaserJet 4730mfp/CM4730mfp Note: HP reserves the right to modify or cancel marketing programs upon notice to resellers. © Copyright 2009 Hewlett-Packard Development Company. L.P. The information contained herein is subject to change without notice.