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Cisco’s Fly Free On American Claim Form

Sales Individual Information

Sales Representative Name: _________________________________________________

Social Security Number (for tax purposes) : ____________________________________

*Sales Representative Home Address:

Street: __________________________________________________________________

City: _________________________________ State: _______ Zip: _______________

E-Mail Address: _________________________________________________________

Phone number you can be reached at: ( ) ____________ - ___________________

Reseller Company Information

Reseller Company Name: __________________________________________________

Address: _________________________ City ______________ St: ____ Zip: ________

Distributor: ___________________________ Reseller Acct No.: __________________

Travel Award Claim Information:

Applicable Product Sold:

Qty: ____ Product: _______________________________ Invoice No. ____________

Qty: ____ Product: _______________________________ Invoice No. ____________

Qty: ____ Product: _______________________________ Invoice No. ____________

Appropriate distributor invoices must accompany claim form as proof-of-purchase.

End-User Name (Optional): _______________________________

Signature ____________________________________ Date: _____________________

Claims that are not signed will be denied.

*Awards and tax documents will be mailed to your home address.Products invoiced from April 15, 1997, through July 15, 1997 are eligible for award travel. All claims must be received and postmarked no later than August 15, 1997. Awards are based on products invoiced less any returned product. Travel award claims must be requested from the distributor the product was purchased. Where multiple SKUs are required to obtain a travel voucher, all SKUs claimed must be purchased from one distributor. Allow 30-60 days from the date received by the distributor for processing and validation of claims. A maximum of up to 10 travel awards will be awarded per reseller sales representative. This promotion cannot be combined with any other Cisco promotion except the AS5200 Leasing Program. All taxes are the responsibility of the recipient. All American Airlines terms and conditions apply.

The above information must be provided to Ingram Micro to comply with tax rules and regulations. Should you accept this prize and are not a corporation, we will be sending you a “Federal Form 1099-Misc. Income” at the end of the year if your total compensation from Ingram Micro equals or exceeds $600. If your company is a corporation, please list your Federal Tax ID #above. Your corporation is responsible for including the fair market value of the prize in individual employees wages and are responsible for appropriate payroll taxes to individuals which receive the prize. Please make any corrections to the prize recipient information. If this is a IM Check, the check will be issued to the corporation. The corporation is responsible for dispersing to individual company employees or representative.

Frequently Asked Questions

Q Is the promotion based on purchase, shipment or invoice date?

A Product must be invoiced by the distributor from 4/14/97 to 7/15/97.

Q Is this promotion available to VARs that have purchased products from Cisco?

A No. However, promo is available to anyone purchasing product from Cisco’s U.S. distributors.

Q Can I fly anywhere? How long are the tickets good? Are there blackout periods for travel using these travel certificates?

A Certificates are good for round-trip, coach transportation anywhere in the 48 contiguous states and Canada. Black out periods are Nov. 26, 30, 1997, Dec. 1, 19-20, 27-28, 1997, and Jan. 4, 1998. Travel certificates are valid at least through June 30 1998. All details will be on the travel certificates.

Q Are the tickets transferable?

A Travel certificates will be sent to the sales representative claiming the award. They will receive a blank travel certificate for redemption. Please note, the sales representative is responsible for the tax implications and will receive the appropriate 1099 form at the end of the year. Tax value of each award is approximately $310.

Q What happens once the travel certificate is received?

A The travel award recipient must redeem his certificate with American Airlines.

Q Can tickets be upgraded to first class or combined with any other promotion?

A No. Travel certificates are not valid with any other American Airlines promotions.

Q Where do I send my claim form? How long before I receive my travel certificate?

A Claims will need to Priscilla Durham, Ingram Micro, P.O. Box 25125, Santa Ana, CA 92799-5125. You can expect your travel award in approximately 45 days.

Q Can sales representatives make multiple claims on one form?

A Yes, more than one claim can be made using the same form. All appropriate proof-of-purchase must be included.

Q Where can details and instructions on how to take advantage of this offer be found?

A Distributor Fax-on-Demand Systems. Ingram Micro at 714-566-1900,

document #1575 or Cisco’s website.

Q What is the Fly Free Promotion Kit? And, how do I get one?

A Cisco’s Fly Free Promotion Kit provides valuable information on the Cisco products that are featured in the promotion. It also contains details on participation. To order a kit send an e-mail to azavacky@ or call (408) 526-5616 and request your Fly Free Promotion Kit AFTER May 1, 1997.

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Sell Cisco Products and Fly Free on American!

For a limited time only, when you buy select Cisco networking products from Ingram Micro, you

earn American Airlines( certificates good for domestic travel!

This promotion is a great way to introducing your customers to Cisco’s legendary end-to-end solutions. And now, when you sell Cisco networking products, you’ll fly free on American.

Offer valid April 14, 1997 through July 15, 1997. All claims must be received and postmarked

no later than August 15, 1997.

How to Earn American Airlines Tickets with Cisco Products

Central Site Solutions Cisco part number Ingram sku Travel awards

Cisco 3600 Series |CISCO3640-CH 616202

CISCO3620-CH 616201

|Sell 1 get 1 AA ticket | |FastHub 300 Series |WS-C316T 616781

WS-C316C 616782

WS-X3116 616783

|Sell 1 get 1 AA ticket | | Catalyst 1900 Series |WS-C1900 616767

WS-C1900C 616768

WS-C1912 816004

|Sell 1 get 1 AA ticket | |Catalyst 2820 Series |WS-C2822 616771

WS-C2828 616772 |Sell 1 get 1 AA ticket | |Small Office Solutions

Cisco 1600 Series |CISCO1601-CH 616144

CISCO1602-CH 616145

CISCO1604-CH 616147

|Sell 6 get 1 AA ticket | |Cisco 700 Series

|CISCO762 616103

CISCO766 616107

CISCO772 616110

CISCO776 616114

|Sell 6 get 1 AA ticket | |Micro Webserver |MWEB100 616803 |Sell 6 get 1 AA ticket | |

Internet Solutions

Pix Firewall |PIX32 616799

PIX256 616801

PIX1024 816005

|Sell 1 get 2 AA tickets | |LocalDirector |CA-LDIR 616804 |Sell 1 get 4 AA tickets | |

Access Server Solutions

Cisco AS5200 Series |AS5248-CH 616875 |Sell 1 get 2 AA tickets | |

Cisco’s Fly Free Promotion Kit

contains valuable product information such as features, benefits and competitive

data. This kit can help you earn FREE airline tickets on American Airlines( fast.

To order call (408) 526-5616 or send an e-mail to azavacky@.

Here’s How it Works

Products invoiced from April 15, 1997 through July 15, 1997, are eligible for award travel. All claims must be received and postmarked no later than August 15, 1997. Travel awards are based

on products invoiced less any returned product. Travel award claims must be requested from the distributor where the product was purchased. Where multiple SKUs are required to obtain an award, all must be purchased from one distributor and sold on the same invoice.

To Claim Airline Travel Certificates

1. Complete and sign “Cisco’s Fly Free on American Claim Form.” Claims will be denied if not signed by the reseller sales representative.

2. Complete and sign “Ingram Micro’s Reseller Prize Acceptance Form”.

3. Attach appropriate distributor invoices for the products you have purchased that qualify.

4. Send claim forms to:

Ingram Micro

Attn: Priscilla Durham

P.O. Box 25125

Santa Ana, CA 92799-5125

Please allow 30-60 days for processing and validation of claims. All taxes are the responsibility of the recipient. This promotion cannot be combined with any other Cisco promotions except for AS5200 Leasing Program. A maximum of up to 10 travel awards will be awarded per reseller sales representative.

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