***************************************
3COM U.S.ROBOTICS UPGRADE ORDER FORM
***************************************


Upgrade to V.90 International 56K* Standard 
for your U.S. Robotics 33.6 or x2 modem
This form should be used for hardware upgrades
ONLY.  

See www.3com.com/56K for more information.
Please fill out this form completely and fax to: 

(801) 431-3668

Canadian customers fax to: 

(905)479-0232

=======================================
Section 1 - Shipping Information 
=======================================

(Street Address Required- No P.O. Boxes)

Mr  Mrs  Ms  Miss
First
Last
Street Address
Apt./M.S.
City
State 
ZIP
Home Phone (	)
Work Phone (	)
Fax Number (	)
Email address

=======================================
Section 2 - Product Information
=======================================	

Circle one - my modem is a U.S. Robotics:

33.6 faxmodem (Your credit card will 
be charged $60)

33.6 upgraded to x2 technology (FREE upgrade; 
credit card info required as deposit)

IMPORTANT!  Be sure to write the following 
two numbers carefully and completely:

Serial Number

------------------------
Your serial number will either have 12 alphanumeri
c or 16 numeric digits and can be found on a 
sticker on the bottom of your external modem 
or your internal modem board.  The serial number s
hould look something like one of these: 217B2177GCZ2  
OR  0008390300231839

Product Code Number 

-----------------------
Your product code number (SKU) should have 
8 digits and look something like this: 001785-02.
In a 16-digit serial number, the first 8 digits 
of your serial number are your SKU.  If you have
a 12-digit serial number, the SKU is located on 
the serial number sticker, to the right of the 
serial number bar code.

=======================================
Section 3 - Credit Card Information (required)
=======================================

Credit Card - 
circle one:  	 Visa	 Mastercard
Number
Expiration Date
Name as it appears on the card
Signature 
Date
By providing this information, you agree to 
the terms in Section 2 above. 

=======================================
Section 4 - Upgrade Procedure
=======================================

When we receive your order, we will send you
a hardware upgrade package.  The package 
should arrive in 7-10 working days if the 
product is in stock when you place your order.
We will call you to confirm your order and 
give you the shipment status.  When you 
receive your new modem board, you will have
30 days to return your old one to us.  
Instructions will be included in the upgrade
package.  
IMPORTANT:  You will be charged the full 
retail price of a new modem if you do not
 return the old one.**
Call 1 888 I WANT 56 if you have questions 
regarding your order.

*Capable of 56 Kbps downloads.  Due to current
regulations, download speeds are limited to 
53K.  Uploads travel at up to 31.2 Kbps.  
Actual speeds may vary.  Requires compatible
 phone line, modem and server equipment.  
See www.3com.com/56k for more information.

** Minimum charge $99, maximum charge $249, 
depending on model.  You will be charged the
3Com estimated selling price (at time of 
shipment) of the model that was shipped to
you.  The $60 upgrade fee (if you have 
already paid it) will be deducted from the
amount charged.  You will be notified via
registered letter if we do not receive 
your return within the specified time.