DATA COLLECTION WIDE RANGE CELL

MONITORING SYSTEM

Registration:
I want to register for the Data Collection Wide Range Cell Monitoring System Demonstrations:

Company Name:

Contact Name / Title:

Telephone:

Mobile number:

E-Mail:

Signature:

To reserve your attendance, it is necessary to receive your confirmation with the corresponding payment
via bank transfer. The cost of the demonstration is FIVE Thousand United States Dollars
($5,000.00) payable in advance. Our bank details can be found on the invoice that follows:

Name of Attendees:

1.

2.

3.

4.
 From:
HSS Development Inc.
75 S Broadway
White Plains, NY 10601
914-304-4333
Info@Secintel.com

PRO-FORMA INVOICE

Date Invoice # Valid For FOB Terms

September 21 090616S1 60 Days N. Y. Payment in advance

& October 19
Extended
Unit Price
Qty Item Description Price

1 Data Collection Wide Range Cell Monitoring $5,000.00 $5,000.00

System Demonstration

Cost includes one night hotel room reservation,

meals and transportation from and to the
airport.

A second person or more will have a 50%

discount. ($2,500.00)

Fees may be applied to purchase if made within

1 year of date

Subtotal: $5,000.00

Shipping: N/A

Total Amount Due $5,000.00

All payments are to be made by wire transfer to:

Name of Bank – CHASE BANK
ABA# 021000021 (for wires from domestic (U.S.) banks)
Swift Code – CHASUS33 (For wires from international banks)
For the account of: HSS DEVELOPMENT INC.
Account number: 857088595