Credit Agreement and ApplicationCalifornia • May 19th, 2006
Jurisdiction FiledMay 19th, 2006NAME OF CREDIT APPLICANT to be listed on the Account Street Address City, State Zip Phone Billing Address City, State Zip Phone BUSINESS INFORMATIONType of Business □ Corporation □ LLC □ Partnership □ Sole Owner □ Individual Nature of Operations Tax Identification # Date of Incorporation At Present Location Since Dun & Bradstreet # Annual Sales Credit Requested $ List of all owners, partners or officers Name Address Title Name Address Title Name Address Title REFERENCES (Give information of those you buy from on open account) Name Address Phone Fax Name Address Phone Fax Name Address Phone Fax Bank Name Branch Account # Contact Anticipated number of shipments per month Payables Contact Person Name email phone fax