TSARA
Vision
Order Form
Please fill out all fields:
Dealer name:
Dealer address:
Dealer number:
Person responsible for receiving and billing:
Quantity desired:
Signature: _______________________________ Date: __________________________
Please submit completed form to
.
The cost of the lease per 6 month period is $774 per device and will be billed
as miscellaneous billing. There is also a onetime shipping and handling fee of
$50 per device. This fee also applies to additional devices ordered.
Attachment 3 to B040319
May
2019
Содержание TSARAVision HMT-1
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