Company Name:

Street Address:

City:  State / Prov:    Zip:

Phone:  Ext:     Fax:

Email:

Name Of Buyer:

Fax Copy to Follow:   Yes          No

Bill To and Ship To Address:   Yes          No

Name of Manufacturer:

C/O   
RF SPECTRUM INC.,
8 Hans Dr,
Markham, Ont.,
Canada. L6C 1T3

FOB: FACTORY
TERMS: NET 30 DAYS
CURRENCY: US$
SHIP VIA:      ACCOUNT NO: