Helium Miners Network, Inc. 124 S, Berkeley Avenue, Pasadena, CA 91107, USA Phones (626) 233-2458 * (626) 696-7200 E-mail: HeliumMining@gmail.com Website: www.HeliumMinersNetwork.com HELIUM MINER HOTSPOT - ORDER FORM Order Date: PRINTED NAME: PHYSICAL ADDRESS: EMAIL ADDRESS: CELL NO. Please Check the Following Package Option you are ordering: (_) 3 Pack: Purchase 3 units of Helium Miner Device at $700 / unit : $2,100 (_) 6 Pack: Purchase 6 units of Helium Miner Device at $700 / unit : $4,200 (_) 12 Pack: Purchase 12 units of Helium Miner Device at $700 / unit : $8,400 (_) Univs at $700 per unit: S PAYMENT METHODS: USA AND WORLDWIDE, ) Your Check No: Payable To: Helium Miners Network (__) Bank Deposit : $ Chase Bank: Checking Acet. # 75552-2767 Make Your Check Payable: Helium Miners Network Inc. (____) Zelle to Phone 626 644 2211- Bank Account Name: Jocelyn Pilaro Bank Deposit : P Banco de Oro: Savings Acct. No. 7100 028 652 Account Name: Jocelyn T. Pilaro - Philippine Phone #63 916 596 2018 Address: 204 S. Shaw Blvd. corner Vicencio St., Brgy. Hagdang Bato, Libis, Mandaluyong City, Philippines Note: Please make sure to e-mail bank receipts to: HeliumMining@gmail.com