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All
SPI products & item components are subject to Export restrictions administered by the US departments of State & Commerce. Please contact the US Department of State / Commerce for assistance. All SPI Items, components and software cannot be shipped outside the USA without a valid license administered by the United States Government.By placing an order with SPi, SPi's
associates or agents, the purchaser agrees to be in full compliance with the terms listed
herein and obey all U.S. local, state, federal, and international laws. Purchaser assumes all
responsibility for his / her actions.
Complete SPI Terms and conditions;
http://www.ir55.com/terms.html
I / We do hereby verify that I / We have fully read and understand this statement and wholly agree to it's terms & Conditions.
COMPANY
NAME:_____________________________________________
TAX ID # / FEDERAL EIN:________________________________________
BUSINESS LICENSE # / OR PURCHASER
DL#_______________________
PURCHASERS NAME:__________________________________________
ADDRESS:___________________________________________________
STATE, ZIP, COUNTRY:_________________________________________
DATE:_______________________________________________________
TELEPHONE
NO.:______________________________________________
FAX NO.:_____________________________________________________
WEBSITE:____________________________________________________
EMAIL:______________________________________________________
PURCHASERS NAME
PRINTED:__________________________________
ITEM / COMPONENT'S
PURCHASED:_____________________________
QUANTITY REQUESTED:_______________________________________
PURPOSE FOR USAGE OF ITEM:_________________________________
END USER OF ITEM:___________________________________________
COUNTRY OF ITEM USAGE:_____________________________________
SIGNATURE:_________________________________________________
TITLE:______________________________________________________
Please read & review this wire / hardcopy document, answer all requests listed & fax to (702) 369-3977 or (702) 739-6572 , Please forward any questions to accounting@x20.org
SA-5.5.99,df/SPI
doc # 2789323.K
revB.10.27.08