FORM MXT INTERNAL 1 (1) DOCUMENT NUMBER REV DATE

FORM FOR SPECIAL DISCOUNTS


^FORM	MXT Internal 1 (1)
Document Number	Rev	Date
MXT-05:046		₂₀₀_5-03-09
Prepared (also subject responsible if other)	Approved
_{Göran Rydén}	Iris Ödman

FINDERS FEE APPLICATION FORM:

To be completed by the FINDER:

^{FINDER company}^:
Date:

^{Reference person}^:

^{email and telephone
number}^:

^Country^:

^{End user name and
address:}

^{Potential Mobitex
Solution and estimated quantities:}

^{Main competitors
(including advantages of competitors):}

^{Estimated time to initial
deal closure:}

Is the business idea verified and supported by the customer?

^{Approval statement
by Mobitex Technology AB}

^{Date:
Finders Fee Granted:}

^{Special conditions:}

^{Finder Fee Valid for
additional business until: (yy /mm/dd)}

“Signed” by Authorized MXT Manager, Name and Function:

Please send this form in an email to: [email protected] or fax to +46 31 350 2010.