Fill out the below form and submit it to Cox within 30 days of your installation / activation date
of Cox High Speed Internet (Essential, Preferred or Premier Tiers) to have your account credited $49.

All fields are required.

Replacement of a defective modem
(Preferred or Premier customers only)

*Rebate offer expires 12/31/2010. Free modem with rebate program: one modem per household during program period and valid only for new Cox High Speed Internet subscribers with Essential, Preferred or Premier package. In order to receive $49 credit on your Cox bill: (1) Complete the online coupon/form; and (2) submit the completed coupon/form online. Cox must receive the completed coupon online within 30 days of your installation/activation of Cox High Speed Internet. Cox will apply a credit equal to the amount billed for modem. Credit will be applied within 6-8 weeks (up to two billing cycles) following Cox’s receipt of a completed online coupon. You must be an active Cox High Speed Internet Essential, Premier or Preferred customer when the credit is given in order to receive the $49 credit. No taxes or fees will be added to the $49 rebate. Coupon not valid for cash or other services, void if altered or transferred, not replaced if lost or stolen. Rebate fraud will be prosecuted to the fullest extent of the law. Void where prohibited. Other restrictions apply. 2009 Cox Communications, Inc. All rights reserved.