Specialty Tape Division

250 Chester Street, Bldg. 5

Painesville, Ohio 44077

Phone: 1-866 GO AVERY

New Customer Profile

Co. Name______For internal use only

Address______D & Rating______

Ship-To

City______Credit Line______

State______Zip______Terms Code______

Purchasing Contact______Review Cycle______

Telephone______Approved By______

Fax______

Address______

Bill-To (If different than Ship-To)

City______

State______Zip______

Accounts Payable Contact______

Telephone______

Fax______

Freight Terms (please check one)

Collect

Prepay/Bill

Preferred Carrier (if terms are COLLECT) ______

Specialty Tape Division

250 Chester Street, Bldg. 5

Painesville, Ohio 44077

Phone: 1-866 GO AVERY

Primary End-Use Market:

Transportation

Electronics and/or Appliances

Packaging and Specialty

Label Graphics

HVAC

Medical

Consumer Products

Diaper Tapes

Closure Systems

Authorized Signature______

Print Name______

*************************************************************************************

Please list below three trade references complete with phone and address

______

______

______

NEW CUSTOMERS: You are required to purchase via credit card – see next page. Please review carefully the attached terms and conditions. Your signature acknowledges your intent to comply with these terms and conditions. If you need assistance completing this form or if you should have questions please contact Lori Berry at 440-358-4640 or Vivian Engle @ 1-866 GO AVERY.

Specialty Tape Division

250 Chester Street, Bldg 5 Painesville, Ohio 44077

Phone: 1-866 GO AVERY

Credit Card Customers:

Please complete the following information for each credit card with which you intend to purchase. Please note: Individual orders cannot be split-up among various cards; one card per order. However, more than one card may be on file with which to purchase.

Name of Cardholder Company Name (if different)

______

Address of Cardholder

______

City______State____

ZIP______

___MC___VISA___AMEX___

CC Number

______- ______- ______- ______

EXP DATE __ __ / __ __

M M Y Y

10% Discount On First Credit Card Order

1% Discount on Subsequent Orders

Benefits of Credit Card Purchasing

- Extended Terms- Better Cash Flow

- No Order Delays- Reduces A/P Overhead

-Air Miles/Cash-Back Offered on Credit Cards

-Credit Cards are Billed on the Third Fiscal Monday of Each Month ONLY!

Specialty Tape Division

250 Chester Street, Bldg. 5 Painesville, Ohio 44077

Phone: 1-866 GO AVERY

Terms and Conditions of Sale

The net amount of invoice is payable in full within 30 days following date of invoice. Invoices paid within 10 days of invoice are subject to 1% discount. Invoices not paid within 30 days of due date shall thereafter bear monthly service charges at the rate of 1% per month on the unpaid balance until paid. It is Avery Dennison’s opinion Purchaser’s financial condition does not justify continuance of production or shipment on the terms of payment specified. Avery Dennison may require payments in advance.

If an unpaid balance is deemed uncollectable and transferred to an outside agency for the purpose of collection, any fees incurred are the responsibility of the PURCHASER and must be paid in full to AVERY DENNISON.

The amount of any present or future federal, state, local, or other taxes applicable to the sale of products listed herein shall be added to the price and paid by PURCHASER unless PURCHASER provides AVERY DENNISON with a valid exemption certificate acceptable to AVERY DENNISON and the appropriate taxing authority.

Title and Risk of Loss

All prices are F.O.B. shipping point. Title and risk of loss for all products shall pass to PURCHASER upon delivery by AVERY DENNISON to a common carrier, regardless of freight terms or method of payment for transportation charges. The PURCHASER is responsible for filing all loss or damage claims with the carrier.

Transit Damage Claim Procedure

  1. F.O.B. shipping point is our term of sale. Therefore, once the material leaves the shipping dock, it becomes the property of the PURCHASER.
Specialty Tape Division

250 Chester Street, Bldg. 5 Painesville, Ohio 44077

Phone: 1-866 GO AVERY

  1. It is the responsibility of the PURCHASER to receive the entire shipment as tendered and enter a claim with the carrier if any portion is missing or damaged upon delivery.
  1. If there is any loss or damage at the time of delivery, it is essential to note on the delivery receipt. Within 15 days of receipt of the shipment, any concealed damage should be reported to the delivering carrier. Retaining the entire package is necessary until after a concealed damage the carrier issues inspection report.
  1. Speed is of utmost importance. Prompt inspection, as well as prompt filing of the claim with all necessary documents will facilitate fast settlement. All claims must be accompanied by the following documents.

A)Original paid freight bill

B)Certified copy of original bill of lading

C)Duplicate of invoice covering shipment

D)Duplicate of destination inspection report,

If available, or exact duplicate of delivery

Receipt noting shortage or damage.

Acceptance

All orders are subject to acceptance by AVERY Dennison’s home office.

Cancellation

Orders cannot be canceled except upon terms that will fully compensate AVERY DENNISON against loss.

Returns

All products sold by AVERY DENNISON are returnable only in accordance with the warranty provision hereof. Before returning any product, PURCHASER must obtain AVERY Dennison’s home office prior written approval and instructions.

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Specialty Tape Division

250 Chester Street, Bldg. 5 Painesville, Ohio 44077

Phone: 1-866 GO AVERY

Force Majeure

AVERY DENNISON shall not be liable for any loss, damage, delay, changes in shipment schedules or failure to delivery caused by accident, fires, strikes, riots, civil commotion, insurrection, war, the elements, embargoes, failure of carriers, inability to obtain transportation facilities, government requirements, acts of GOD, or public enemy, prior orders from customers or limitations of AVERY Dennison’s or its suppliers’ production or marketing activities or any other causes or contingencies beyond AVERY Dennison’s control. AVERY DENNISON shall in no event be liable for any consequential damages.

Limitation of Liability

In no event shall AVERY DENNISON be liable for any incidental or consequential damages, including but not limited to, loss of profit, loss of use or production or loss of capital. The remedies of PURCHASER set forth herein are exclusive and the liability of AVERY DENNISON with respect to any contract, or anything done in connection therewith such as the performance of breach hereof, or from the manufacture, sale, delivery, resale, installation or use of any products whether arising out to contract, negligence, strict tort, or under any warranty or otherwise, shall not exceed the purchase price of the products upon which liability is based.

Compliance

All AVERY products are manufactured in compliance with all applicable requirements of the Fair Labor Standards Act, as amended, and all other applicable laws.

Severability

Each paragraph and provision hereof is severable and if any provision is held invalid or unenforceable the remainder shall nevertheless remain in full force and effect.

Choice of Law

All contracts shall be governed by and construed in accordance with the laws of the State of California.

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