Form of Personalized Statement and Election Agreement (Cash) CHARTER COMMUNICATIONS PERSONALIZED STATEMENT AND ELECTION AGREEMENTPersonalized Statement and Election Agreement • January 20th, 2004 • Charter Communications Inc /Mo/ • Cable & other pay television services
Using the PIN above, and entering the last six digits of your social security number, you can elect to participate in the Exchange Program by accessing the Internet at www.corporate-action.net/charter. You may also elect to participate through the automated telephone system at 1-866-716-5749, or in the event that you cannot access the website or phone system, you may sign and date this Election Agreement and send it to the address indicated on the reverse side of this document. We strongly encourage you to make your election through the website or the telephone system. If you must submit through the mail, it is advised that you send this document certified mail with return receipt requested.
