Proforma Template

PROFORMA INVOICE SHIPPER:

[Company or Individual's Name] [Street Address] City, Postal Code, Country] [Contact Telephone, Fax and Email Address]

Invoice Date: Incoterms:

DAF (Port of Entry)

Number of Packages: SHIP TO:

Item 1 2 3 4 5 6 7 8 9 10 11 12 Notes:

[Maxtor Collection Center] [Street Address] [City, State, ZIP Code] [Contact Name] [Contact Telephone, Fax and Email Address]

RMA Number

Maxtor Part Number or Model Number

Shipment Weight (kgs): Currency Type:

Description

Defective units being returned to Maxtor for credit, replacement or repair.

Country Unit Quantity of Origin

Unit Price

Invoice Total

I/we hereby certify that the information contained on this invoice is true and correct and that the contents of this shipment are as stated above.

X Signature [Company Name], [Printed Name], [Title of Person Signing]

Extended Value 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00