Xentris 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.