CREDIT APPLICATION

In order to process your order in the manner you request, we must have the following information completed. It is necessary that every question be completed in full. Thank you for understanding.

COMPANY NAME:______

ADDRESS:______

CITY: ______STATE: ______ZIP:______

PHONE:( ____)______FAX:( _____)______

SHIPPING ADDRESS, IF DIFFERENT FROM ABOVE:

ADDRESS:______

CITY:______STATE: ______ZIP:______

PHONE: ( ____)______FAX:( _____)______

OWNER(S) NAME:______

PRIMARY NATURE OF BUSINESS:______

DATE BUSINESS ESTABLISHED(MONTH/YEAR):______

YEARS IN BUSINESS OF PRESENT OWNERSHIP/MANAGEMENT:______

(__)SOLE PROPRIETORSHIP: SSN ______(__)PARTNERSHIP

(__)CORPORATION: For Profit (__) Sub-S (__) Not For Profit (__)

FEDERAL TAX ID #______SALES TAX #______

BANK NAME:______ACCOUNT #______

ADDRESS:______

CITY:______STATE:______ZIP:______

PHONE: ( ____)______CONTACT NAME:______

REFERENCES:

1.______2.______

______

______

______

ACCOUNT #______ACCOUNT #______

3.______4.______

______

______

______

ACCOUNT #______ACCOUNT #______

PERSONAL GUARANTEE

______(Business Name), has applied to SunTrends, Inc. for use of credit. As a condition to permit the use of credit, SunTrends, Inc, is requiring the execution of this personal guarantee, which binds the signee as personally responsible for any debts realized through the issuance of notes or bills.

Executed this______Day of______20____

NAME:______

HOME ADDRESS:______

HOME PHONE #______

SIGNATURE:______