Credit Application

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BUSINESS

BANKS

TRADES

CONTACTS

AGREEMENT

I hereby certify:(i) the information provided above is true and correct,(ii) you are hereby authorized to investigate all bank, credit and trade refrences and said references are hereby authorized to release any requested information to your or your nominee, (iii) such authorization shall extend to obtaining a credit profile in considering this application and subsequently for the purposes of update, renewal or extension of such credit or additional credit and for reviewing or collecting the resulting account.

SIGNATURE

Tax Exempt (Optional)