To: Director General

RP Sistema LLC

A.P. Gruzdov

APPLICATION

TO PROLONG AGREEMENT ON THE TECHNICAL MAINTENANCE OF THE CASH REGISTERS OF RP SISTEMA PRODUCTION

Please prolong the term of the Agreement No. ______to perform warranty, post-warranty repairs and maintenance of the cash registers of RP Sistema production (specify models of cash registers):

--______;

--______;

--______;

--______;

--______;

1. ______

(Name and legal status of a legal entity)

Location ______(Registered office) ______(Actual postal address)______(Code of settlement, telephones including mobile phones, E-mail)

INN/KPP______Bank details ______(Bank, BIC, settlement account, correspondent account) ______represented by ______(Title, full name of the company’s head)

2. The company has trained specialists with the right to perform warranty, post-warranty repairs and maintenance of the cash registers of RP Sistema production:

No. / Full name of the specialist / Certificate (number, issue date) / Models of cash registers (as specified in the certificate)
1.
2.
3.
4.

3. Please, train the following specialists with the issuance of standard certificates:

No. / Full name of the specialist / Passport data (serial, passport number) / Model of cash registers for which attestation is provided
1.
2.
3.
4.

4. Please provide the complete set of repair and technical documentation on the specified models of cash registers (subject of the agreement).

5. The total number of the serviced cash registers incorporates ______pcs. including ______pcs. of RP Sistema production, namely the following models (model and number): ______

6. The total number of the cash registers of PR Sistema production sold this year: (model and number):______

7. The planned sales volume the cash registers of PR Sistema production (model and number): ______

______

Full name Title of the headSignature

Seal

Date ____ / ______/ ______

Note:Applications must be sent to the address – RP Sistema LLC, 5 Sedova St., 344006, Rostov-on-Don, or by tel / fax (863) 203-57-98,