RFQ Hardware Order Form Purchasing Company Information Company name Street address City State/Region Country Postal Code Purchasing Company Point of Contact First name Last name Email Phone number Order Information Please enter the number of aRFID tags you wish to purchase. Minimum order value is $500. ST-654-041: Savi Data-Rich Tag - $100.00 All pricing provided is in US Dollars and are exclusive of tax. Any applicable taxes will be added to the order invoice(s). Payment must be received prior to shipment of devices. Customer is responsible for shipping costs, any applicable customs, duties and any other import charges as well as any required coordination with courier and local customs for shipment clearance. Shipping Address Phone number Shipping Address Shipping City Shipping State Shipping Postal Code Shipping Company Country Tax ID No. Shipping Courier Please SelectFedExUPSDHL Shipping Courier Account Number Shipping Point of Contact First Name last Name Email Phone The Products and Services sold pursuant to this form are subject to and governed by the Terms and Conditions found at https://www.savi.com/terms-conditions-sale/. I agree to the Terms and Conditions By checking this box, you agree to receive our marketing updates, in accordance with our Privacy Policy. You can opt out at any time. Yes, sign me up! By clicking submit below, you consent to allow Savi Technology to store and process the personal information submitted above to provide you the content requested.