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ART # ZIP: CUSTOMER REQUESTED ARRIVAL DATE FOR INFORMATION CONTACT: 1-800-777-4768 MONDAY THROUGH FRIDAY - 8:30 A.M. TO 5:15 P.M., est SUBMIT IBM MATCHING GRANTS ORDER FORM BY: Fax: 1-800-437-3863 or Mail to: IBM Corporation Corporate Support Programs Order Center 4800 Falls of the Neuse Raleith, NC 27609 SHIP TO ADDRESS: (PLEASE BE AS SPECIFIC AS POSSIBLE) NAME OF INSTITUTION: ATTN: BLDG # ROOM #: STREET/P. O. BOX CITY, STATE: ZIP: TELEPHONE # ( ) DESCRIPTION/COMMENTS THIS AREA FOR IBM US.

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