Pro-forma invoice no. PF#: 05-	Date:

"POGLED MEDIANIS" DOO Strahinjića Bana 2A/40, 18000 Niš; Tel/fax: 018/522-855 E-mail: pogledisp@medianis.net Activity code: 64200 Registry number: 20036451 Tax Identification number: 103853849 Tax added value number: 188082910 Giro account number: 205-88718-05 Value Added Tax Certificate (PDV in Serbian) (gif, 48KB)

Company name: * Address: * City: * ZIP code: * Phone: * E-mail: Activity code: Registry number: Tax identification number: * Tax added value number: Giro account number: Fields marked with * are required

Num.	Service	Your Username	Price	Qty	Value	Tax %	Tin value	Total
1	Select no. of hours 10 hours of dial-up 20 hours of dial-up 30 hours of dial-up 40 hours of dial-up 50 hours of dial-up 70 hours of dial-up 100 hours of dial-up Unlimit		dinars 210,00 din 400,00 din 570,00 din 740,00 din 900,00 din 1.190,00 din 1.600,00 din 490,00 din	1 2 3 4 5 6 7 8 9 10		18%
2	Select no. of hours 10 hours of dial-up 20 hours of dial-up 30 hours of dial-up 40 hours of dial-up 50 hours of dial-up 70 hours of dial-up 100 hours of dial-up Unlimit		dinars 210,00 din 400,00 din 570,00 din 740,00 din 900,00 din 1.190,00 din 1.600,00 din 490,00 din	1 2 3 4 5 6 7 8 9 10		18%
3	Select no. of hours 10 hours of dial-up 20 hours of dial-up 30 hours of dial-up 40 hours of dial-up 50 hours of dial-up 70 hours of dial-up 100 hours of dial-up Unlimit		dinars 210,00 din 400,00 din 570,00 din 740,00 din 900,00 din 1.190,00 din 1.600,00 din 490,00 din	1 2 3 4 5 6 7 8 9 10		18%
Price:
Tax added value:
Total: