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INTENT
OF USE STATEMENT
for Magnetic Stripe Encoders / Portable Readers |
The following information is requested for your initial purchase of Incode Corp.'s encoder / reader products:
I understanding that by signing this statement, I am stating that the purchase of these products is not for illegal use.
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Company Name: |
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Purchaser's
First & Last Name:
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Address:
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City,
State & Zip Code:
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Telephone
No.:
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Signature
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Title
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Due
to the nature of the equipment being purchased, this information
may be subpoenaed by the legal authorities.
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Incode
Corp.
12140 Severn Way, Riverside, CA 92503 951-272-9951 *** 951-270-0937 Fax www.incodenet.com |