CREDIT INFORMATION CARD AN WE WILL EXTEND YOU $ INSTANT CREDIT FOR USE ON YOUR FIRST ORDER.

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1 2921 E. La Cresta Avenue P.O. Box 6269 Anaheim, CA (800) FAX: (714) WEB -SITE: Northern California (Phone & Fax) (831) Pager (408) CREDIT INFORMATION SEND US YOUR CREDIT APPLICATION AND RESALE CARD AN WE WILL EXTEND YOU $ INSTANT CREDIT FOR USE ON YOUR FIRST ORDER. PLEASE ALLOW 3-4 WEEKS FOR OUR CREDIT MANAGER TO COMPLETE THE NORMAL PROCESSING. WHEN COMPLETED, YOU WILL BE ISSUED YOUR FULL CREDIT LINE. OTHERWISE YOUR ORDER WILL BE C.O.D. SNAP - A - PART CONTINUOUS CHECKS CUT SINGLES WRAP - AROUND BOOKS LASER FORMS NCR OR CARBON NCR OR CARBON SNAP & CONTINUOUS WEB OFFSET 4 VERSIONS 8 1 / 2 X 11 SERVING THE TRADE ONLY SINCE 1976

2 Dear Distributor: Thank you for your interest in 5 DAY BUSINESS FORMS, INC. We are a trade-only, short-to-medium run manufacturer of custom forms. Our capabilities allow us to produce accurate, timely and cost -effective products for the most demanding of customers. Our specialties include: * Unit sets, continuous forms, laser cut singles, checks, and books. * Carbon-interleaved and carbonless. * 14, 17 and 22 rotary capabilities. * 5 WORKING DAYS production time (with camera ready artwork) with NO UPCHARGE. More complicated jobs take a little extra time, but our estimators will give you firm completion times. * INSTA - QUOTES, valid for 30 days, given. Call our toll-free number for quotes * DIRECT DELIVERY, in your name, to your customer if needed. Otherwise you may will call at our plant in Anaheim. CREDIT TERMS are 5% 10 days, net 30. (COD until receipt of completed credit application and resale card.) Our prices, FOB plant, are subject to the industry standard of 10% over/under run. An application for credit, a resale card, and a Federal Tax I.D. Number form are enclosed. Complete and return these promptly, and take advantage of our attractive credit terms. If you would like samples of our work, have any questions or need additional information, please call us. Our skilled customer service staff looks forward to speaking with you. Sincerely, THE CUSTOMER SERVICE STAFF

3 P.O. BOX 6269 ANAHEIM, CALIFORNIA (714) (213) (800) FAX (714) BUSINESS NAME PHONE FAX A P P L I C A N T MAILING ADDRESS SHIPPING ADDRESS PREVIOUS ADDRESS (IF APPLICABLE) STREET STREET STREET CITY CITY CITY PREVIOUS 5-DAY UNDER DIFFERENT NAME? IF YES, WHAT NAME? YES LENGTH OF TIME IN BUSINESS FED. TAX ID # STATE STATE STATE NO ZIP ZIP ZIP LENGTH OF TIME AT THIS ADDRESS CORPORATION PARTNERSHIP INDIVIDUAL DATE OF INCORPORATION D.B.A. (IF ANY) PRINCIPAL NAME TITLE HOME ADDRESS O W N E R S H I P PRINCIPAL PRINCIPAL SOCIAL SECURITY # DRIVER'S LICENSE # STATE NAME TITLE HOME ADDRESS SOCIAL SECURITY # DRIVER'S LICENSE # STATE NAME TITLE HOME ADDRESS SOCIAL SECURITY # DRIVER'S LICENSE # STATE HAS THE FIRM OR ANY OF ITS PRINCIPALS EVER FILED FOR BANKRUPTCY? IF YES, EXPLAIN: YES NO Credit Application

4 Bank Name / Branch Phone Acct. No. Checking Savings Bank Company s Net Worth Name / Branch Phone Acct. No. Checking Savings Trade References - ( MANUFACTURING COMPANIES ONLY ) Amount of credit requested per month. 1) Name Phone Address City State Zip Terms When Opened 2) Name Phone Address City State Zip Terms When Opened 3) Name Phone Address City State Zip Terms When Opened Applicant's signature attests financial responsibility, ability and willingness to pay our invoices in accordance with our terms. Applicant agrees to pay reasonable attorney fees plus interest plus collection fees in case of default in payments in compliance with terms. Our terms are 5% 10 - NET 30. We do do not ( check one ) factor or finance our accounts receivables. Also, we do do not take discounts offered. Signed Title Signed Title Date Company Billing Address Required on Invoice P.O. No. Job no. Job Name Person Ordering

5 CONDITIONS (TERMS ARE 5% 10 DAYS NET 30 UPON CREDIT APPROVAL) FOR PROPRIETORS, PARTNERS, S-CORPORATION IN THE U.S. PERSONAL GUARANTEE

6 FIRM NAME I HEREBY CERTIFY, That l hold valid seller s permit No. issued pursuant to the Sales and Use Tax; that l am engaged in the business of selling that the tangible personal property described herein which l shall purchase from: 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 l am required by the Sales and Use Tax Law to report and pay for the tax, measured by the purchase price of such property. Desription of property to be purchased: Dated: 20 Signature at By and Title Phone Address