13626 Monte Vista Ave. Unit a Sales Department Chino, CA 91710, USA

SILVERSTONE TECHNOLOGY INC.

13626 Monte Vista Ave. Unit A Sales Department Chino, CA 91710, USA

Phone: (909) 465-9596page no. 10f 4

Fax: (909)465-9569

ACCOUNT APPLICATION

( Please note: incomplete application will not be processed )

COMPANY INFORMATION
Company Name: ______
Billing Address: ______
Shipping Address: ______
Company website: ______Primary e-mail contact: ______
Telephone Number: ______Fax Number: ______
 Proprietorship  Partnership  Corporation, date incorporated _____ / _____ / ______
Name of Parent Company if a subsidiary ______
Tax ID Number: ______Resale Number: ______
Description of Business: ______Number of Employee (s) ______
Annual Sales $: ______D & B # ______
RESPONSIBLE COMPANY PRINCIPALS FOR BUSINESS TRANSACTIONS
Name of owner: ______Title: ______
Address: ______
Telephone Number: ______Social Security Number: ______
BANK INFORMATION
Bank Name: ______Contact Name: ______
Bank Address: ______
Bank Telephone Number: ______Bank Fax Number: ______
Type of Account: Checking / Saving / Loan / Other Account Number: ______
Type of Account: Checking / Saving / Loan / Other Account Number: ______

ACCOUNT APPLICATION - continued

TRADE REFERENCES

(1) Company Name: ______Contact Person: ______
Address: ______
Telephone Number: ______Fax Number: ______
Payment Term: ______Credit Limit USD$: ______
(2) Company Name: ______Contact Person: ______
Address: ______
Telephone Number: ______Fax Number: ______
Payment Term: ______Credit Limit USD$: ______
(3) Company Name: ______Contact Person: ______
Address: ______
Telephone Number: ______Fax Number: ______
Payment Term: ______Credit Limit USD$: ______
COMPANY CONTACTS
President: ______Telephone/Extension Number: ______
Purchasing: ______Telephone/Extension Number: ______
Accounts Payable: ______Telephone/Extension Number: ______

I hereby certify that all statements made herein are true and accurate to the best of my knowledge. We authorize SILVERSTONE TECHNOLOGY, INC. to make all inquiries necessary in processing this application for credit. We hereby indemnify SILVERSTONE TECHNOLOGY, INC. and its agent from any and all liabilities resulting from their credit survey. In consideration of credit by SILVERSTONE TECHNOLOGY, INC. to us, we agree to promptly pay all invoices in accordance with the term expressed on the invoice. We agree that SILVERSTONE TECHNOLOGY, INC. will retain a purchase money security interest in all merchandise purchased by us until the payment has been received by SILVERSTONE TECHNOLOGY, INC. We further agree that if the merchandise ordered by us, or any other person designated by us, shall remain unpaid past the invoice due date, any balance so remaining unpaid shall bear interest at the lesser of the rate of 1 1/2 per month or the maximum rate permitted by applicable law, until paid. In the event that any suit or action is instituted to collect amount due on our account, whether principle or interest or both, we agree to pay, in addition to the amount owed, all legal fees and collection agency fees incurred, including a reasonable sum for attorney’s fees.

Signature: ______Date: ______

FINANCIAL RELEASE AUTHORIZATION

Dear Customer,

In order for your bank to release necessary information to us, please complete this form with your signature and return it back to us as soon as possible.

Thank you,

Sincerely,

Pearl Chang

Accounting Manager

Company Name: ______

Company Address: ______

Company Phone: ______Company Fax: ______

Bank Name: ______Bank Officer Name: ______

Bank Phone: ______Bank Fax: ______

(1) Account Number: ______(2) Account Number: ______

Your company authorized signature: ______Title: ______

Please attach one copy of voided company check and State Reseller Permit. *

FOR BANK USE ONLY

Date Account Established: ______( Checking ) ______( Saving )

Average Balance ( Current Month ): ______

Average Balance ( Last Quarter ): ______

Returned Check(s): No / Yes, if yes, how many: _____ Total Amount USD$ ______

Additional Information:

Signature: ______Title: ______Date: ______

SALES AND USE TAX EXEMPTION CERTIFICATE

( Please Print or Type)

FIRM NAME: ______

STREET ADDRESS: ______

CITY: ______STATE: ______ZIP: ______

PHONE: ______FAX: ______

I HEREBY CERTIFY:

That I hold valid Seller’s Permit No. ______

Issue pursuant to the Sales and Use Tax Law, that I am engaged in the business of selling:

That the tangible personal property described herein which I shall purchase from SILVERSTONE TECHNOLOGY, INC. will be resold by me in the form of tangible personal property, PROVIDED, however, that in the event any of such property is used for any purpose other than retention, demonstration, or display while holding it for sale in the regular course of business, it is understood that I am required by the Sales and Use Tax Law to report and pay for the tax, measured by the purchase price of such property. This is to continue in force until revoked in writing.

Description of property to be purchased: Computer hardware and accessories including but not limited to computer cases, CPU coolers, hard drive coolers, power supplies, cables, thermal compound kits and etc.

Dated: ______By Title: ______

Signature: ______Print Name: ______