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Xentris LogoXentris Wireless- Indirect Dealer Agent Registration
Part 3- Certificate of Resale (CRT-61)

STEP 1: Identify the Seller
Name: Xentris Wireless Business Address: 1250A Greenbriar Addison, IL 60101

STEP 2: Identify the Purchaser

The purchaser is..(Select one only)

STEP 3: Describe the Property 
Property: Wireless accessories and equipment

STEP 4: Complete for Blanket Certificates
Select one of the following.

STEP 5: Purchaser Digital Signature
I certify that I am purchasing the property described in Step 3: (Wireless accessories and Equipment) from Xentris for the purpose of resale.

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