HALO Project Registration

IPVideo Corporation - HALO Project Registration Request

When a project has been determined to be specified IPVIDEO CORP by your sales representative and 25,000+ in projected revenue, the following form must be completed and submitted for approval.

Registration Date

Approx. Value

IPVIDEO CORP PARTNER Contact

IPVIDEO CORP PARTNER Email Address

Approx. Number of HALO Units

IPVIDEO CORP PARTNER Location

End User Name

End User Contact

Quotation/Registration #

End User Phone Number

Project Name

Expected Close Date

Other Products Specified

Summary of Project

Has IPVIDEO CORP PARTNER agreed to register project with IPVideo Corp only?

Expiration date of project registration is 3 months unless otherwise stated:

HALO Project Registration

IPVideo Corporation - HALO Project Registration Request

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