8501 N.W.

17th Street, #125 Miami, Florida 33126 Telephone: (305) 398-4000 Fax: (305) 591-7619

New Account Application

Company Information
Company Name Name of Principal

Sociedad Comercial Garcia y Compania Limitada

Address

TEKSO LTDA

BANDERA 537 OF 33 PISO 3

City State Zip Code Country

SANTIAGO
Phone

METROPOLITANA
Fax

8320300
E-mail

CHILE

56-2-6874446
Billing Address

jgarcia@tekso.cl

BANDERA 537 OF 33 PISO 3

Type of Business Corporation Partnership Phone Sole Proprietor

Authorized Buyer

JUAN LUIS GARCIA SANTANDER

E-mail

56-2-6874446 - 56-9-93442040
Fax

jgarcia@tekso.cl
Person or company authorized for pick up merchandise

JUAN GARCIA
Accounts Payable Contact Phone

JUAN GARCIA
E-mail

56-2-6874446 - 56-9-93442040
Fax

jgarcia@tekso.cl
Main Business (Please check all that apply)
VAR/Integrator Wholesaler Exporter vendedor Other: _______________________

Please let us know what brands you sell:

PSION ZEBRA

What markets and segments do you currently sell for? (Please mark all that apply) POS & AUTO-ID
POS - Point of Sale Automatic Data Collection Banking Kiosk Hotels/Restaurants Other _______________

SECURITY
Identification (Card Printers) Access Control Surveillance Intrusion Detection Fire Other _______________

COMMUNICATION
CTI - Computer Telephony Integrations PBX VoIP Cellular Phones Other _______________

GENERAL COMPUTING
Networking PCs, Printers & Accessories Software Servers & Storage Supplies Other _______________

Annual Sales
< $500.000 $500.000 - $1.000.000 $1.000.000 - $5.000.000 $5.000.000 - $10.000.000 $10.000.000 - $50.000.000 > $50.000.000

Number of Employees
<5 < 25 < 50 > 50

How did you hear about us?

Magazine Internet Refered by: _______________________ Other ____________________________

13-09-2011
Signature Date

8501 N.W. 17th Street, #125 Miami, Florida 33126 Telephone: (305) 398-4000 Fax: (305) 591-7619

New Account Application (Continued)

Once completed the application, please attach the documents corresponding of your country.
ARUBA ARGENTINA ANTIGUA BARBADOS BERMUDA BAHAMAS BONAIRE BOLIVIA BRAZIL BELIZE CHILE
Company's Commercial Registration Nmero de inscripcin de la Sociedad C.U.I.T. Clave Unica de identificacin tributaria Company's Commercial Registration Company's Commercial Registration Company's Commercial Registration Company's Commercial Registration Company's Commercial Registration Certificado de Cmara y Comercio N I T (Nmero de identificacin Tributaria) C G C (Cadastro Geral do Contribuinte) Company's Commercial Registration Inscripcin en Registro de Comercio S I I (Servicio de Impuestos Internos) RUT (Roll Unico Tributario) Company's Commercial Registration Certificado de Cmara y Comercio N I T (Nmero de identificacin Tributaria) Company's Commercial Registration Personeria Juridica RUC (Cedula Juridica) Company's Commercial Registration Company's Commercial Registration Copia de documentos constitutivos RNC (Registro Nacional del Contribuyente) Certificado del Registro Mercantil Resolucin de la Superintendencia de Compaias R U C (Nmero de Registro Unico de Contribuyentes) Escritura Pblica NIT (Numero de Identificacin Tributaria) IVA (Numero de Registro de Impuestos Internos) Company's Commercial Registration Registro General Mercantil NIT (Nmero de Identificacin de Contribuyentes) Company's Commercial Registration

HAITI HONDURAS JAMAICA MEXICO

Company's Commercial Registration Escritura Publica RTN (Registro Tributario Nacional) Company's Commercial Registration Alta ante Hacienda (R-1) Registro Federal de Contribuyentes (RFC) Acta Constitutiva Comprobante de domicilio Identificacin oficial de representante legal. Escritura Publica Constancia de Responsable RUC (Registro Unico de Contribuyentes) Escritura Pblica Licencia Municipal de Funcionamiento RUC (Registro Unico de Contribuyentes) Registro de Comercio o Patente Comercial RUC (Registro Unico de Contribuyentes) Pacto Social RUC (Registro Unico de Contribuyentes) Patente de Comercio Company's Commercial Registration Company's Commercial Registration Company's Commercial Registration Company's Commercial Registration Company's Commercial Registration Company's Commercial Registration Company's Commercial Registration

NICARAGUA

PERU

PARAGUAY PANAMA PUERTO RICO ST. KITTS ST. LUCIA ST. MAARTEN SURINAM ST. VINCENT TURKS & CAICOS TRINIDAD & TOBAGO URUGUAY

CAYMAN ISLANDS COLOMBIA CANADA COSTA RICA CURACAO DOMINICA REPUBLICA DOMINICANA ECUADOR

EL SALVADOR

Contrato Social y Publicaciones Legales Actas de Asamblea y Directorio RUC (Registro Unico de Contribuyentes) Tax Exemption Certificate Registro Mercantil RIF (Registro de Informacion Fiscal) NIT (Nmero de Identificacin Tributaria) Company's Commercial Registration

UNITED STATES VENEZUELA

GRENADA GUATEMALA GUYANA

VIRGIN ISLANDS