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Get Dell Claim Form C Current Contact Information: Name: Address: Name And Address Under Which Purchase

Telephone (day): Email address: INSTRUCTIONS: Please complete this form and mail it, along with any supporting documentation that you have to NYS Office of the Attorney General, Consumer Frauds Bureau, The Capitol, Albany, New York 12224. All forms must be completed, signed and postmarked by December 15, 2009 to be accepted. Please attach additional sheets, as necessary, to explain or suppleme.

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