Change Of Billing Form

: Xenios Change Of Billing Form Change Of Billing Form Licensing Policy ation 2TouchPOS XeniosWeb

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Xenios LLC @ 2011

Xenios LLC

Change of Billing Form

Date: ___________________

Establishment Name

2TouchPOS Product Key

Owner Name

Billing Address

Street 1

Street2

City, State

Zip Code

Phone

Fax

Email Address

Authorizing Signature:

Authorizing Printed Name

Call 866.227.8682 for assistance with this form. Please fax or mail the completed form to:

Fax: 585-325-6989

Xenios LLC

82 Saint Paul St.

First Floor

Rochester, NY 14604-1311