Copyright Envision Corporation. 2002. All rights reserved.

Protected by the copyright laws of the United States & Canada and by International treaties. IT IS ILLEGAL AND STRICTLY PROHIBITED TO DISTRIBUTE, PUBLISH, OFFER FOR SALE, LICENSE OR SUBLICENSE, GIVE OR DISCLOSE TO ANY OTHER PARTY, THIS PRODUCT IN HARD COPY OR DIGITAL FORM. ALL OFFENDERS WILL BE SUED IN A COURT OF LAW.

BUSINESS CREDIT APPLICATION

Copyright Envision Corporation. 2002. All rights reserved. Protected by the copyright laws of the United States & Canada and by international treaties. IT IS ILLEGAL AND STRICTLY PROHIBITED TO DISTRIBUTE, PUBLISH, OFFER FOR SALE, LICENSE OR SUBLICENSE, GIVE OR DISCLOSE TO ANY OTHER PARTY, THIS PRODUCT IN HARD COPY OR DIGITAL FORM. ALL OFFENDERS WILL BE SUED IN A COURT OF LAW.

Copyright Envision Corporation. 2002. All rights reserved. Protected by the copyright laws of the United States and Canada and by international treaties. IT IS ILLEGAL AND STRICTLY PROHIBITED TO DISTRIBUTE, PUBLISH, OFFER FOR SALE, LICENSE OR SUBLICENSE, GIVE OR DISCLOSE TO ANY OTHER PARTY, THIS PRODUCT IN HARD COPY OR DIGITAL FORM. ALL OFFENDERS WILL AUTOMATICALLY BE SUED IN A COURT OF LAW.

Name/Address
Last: Name of Business: Address: City: State: ZIP: Phone: First: Middle Initial: Title Tax I.D. Number

Company Information
Type of Business: Legal Form Under Which Business Operates: State/Province: If Division/Subsidiary, Name of Parent Company: Corporation In Business Since: Partnership In Business Since: Title: ZIP: Title: ZIP: Phone: Phone: Proprietorship

Name of Company Principal Responsible for Business Transactions: Address: City: State:

Name of Company Principal Responsible for Business Transactions: Address: City: State:

Bank References
Institution Name: Checking Account #: Address: Institution Name: Savings Account #: Address: Institution Name: Home Equity Loan: Address: Loan Balance:

Phone:

Phone:

Phone:

Trade References
Company Name: Contact Name: Address: Company Name: Contact Name: Address: Company Name: Contact Name: Address:

Phone: Account Opened Since: Credit Limit: Current Balance:

Phone: Account Opened Since: Credit Limit: Current Balance:

Phone: Account Opened Since: Credit Limit: Current Balance:

 Copyright Envision Corporation. 2002. All rights reserved. Protected by the copyright laws of the United States & Canada and by International treaties. IT IS ILLEGAL AND STRICTLY PROHIBITED TO DISTRIBUTE, PUBLISH, OFFER FOR SALE, LICENSE OR SUBLICENSE, GIVE OR DISCLOSE TO ANY OTHER PARTY, THIS PRODUCT IN HARD COPY OR DIGITAL FORM. ALL OFFENDERS WILL BE SUED IN A COURT OF LAW.

Financial Information
Company Total Assets Income Company Total Liabilities Annual Net Yes No Amount of Credit Requested:

Have you or your officers or affiliates ever filed a petition in bankruptcy? Is your company subject to any litigation? Yes No

If so, describe:

We declare that the above information is true, correct and complete and is given to induce the Company to extend credit. We authorize the Company to make such credit investigation as the Company sees fit, including contacting the above trade references and banks and obtaining credit reports. We authorize all trade references, banks and credit reporting agencies to disclose to the Company any and all information concerning the financial and credit history of my company and myself: I have read the terms and conditions stated below and agree to all of those terms and conditions.

Name of Company:

Authorized Signature: Title: Printed Name: