credit application - all electronics order for all electronics corporation to process your credit...

14928 Oxnard StreetVan Nuys, CA 91411-2610

(818) 904-A524 (800) 826-5432Fax (818) 781-6847

E-mail allcorp@allcorp.comwww. allelectron ics.com

CREDIT APPLICATIONIn order for All Electronics Corporation to process your credit application quickly and efficiently, it isimportant to fill out the application completely. Additional comments about your company arewelcome. P/ease complete both pages and the Bank Authorization form.

Customer # (if ordered before)

Business Name

R A T I O N

Electronics Parts And Supplies

Bill ing Address

Phone

City State zipE-Mail

Shipping Address (if different than above)

City State _ZipAre you a branch, division or subsidiary of another company? ( ) Yes ( ) No

Company Name

Address City State _Zip

THIS INFORMATION MUST BE COMPLETED IN ORDER FOR YOUR APPLICATION TOBE CONSIDERED.

_Corporation _Manufacturer _Retailer _Partnership _Distributor _Technical School

_Proprietorship _Wholesaler _OtherProducts manufactured or distributed

Date established or incorporated

Tax Exempt _ CA Resale #

approximate annual gross sales

(CALIFORNIA-Attach a signed resale card)

Credit Amount Requested $

ts A FoRMAL HARD COpy PURCHASE ORDER REQUTRED? ( / vES ( ) NOAll Electronics Gorporation credit terms are NET 30 days, no discounts. The applicant agrees to paywithin these terms if credit is approved. All Electronics Gorporation reserves the right to close anyaccount if NET 30 terms are not met. By signing this application the applicant acknowledges that allinformation on this application is true to the best of their knowledge and agrees to our NET 30 credit

terms.

Fax

Signature (required) Title Date

2.1

City

4.3

zipCity

Trade ReferencesFull address and fax numbers will help receive the responses in the quickest manner.

(PLEASE TYPE OR PRINT CLEARLY)

Company Name Company Name

Address

State zip City State zip

Phone number Phone number

Fax number Fax number

Account number Account number

Company Name Company Name

Address Address

State City State zip

Phone number Phone number

Fax number Fax number

Account number Account number

Bank Information

Account number Type Date opened

Bank name Contact Phone number Fax number

Address City State zip

R A T I O N

Electronics Parts And Supplies

14928 Oxnard StreetVan Nuys, CA 91411-2610

(818) eO4-0524 (800) 826-5432Fax (818\ 781-6847

E-mail allcorp@allcorp.comwww.allelectronics.com

AUTHORIZATION OF RELEASE INFORMATION

Below please find a wriften authorization for release of credit information. Most banksand financial institutions will not release information without prior writtenauthorization. We can not complete your credit applications without bank information.

We hereby authorize to release any

pertinent information regarding our" "fitlt,iffi] ""uing"

and borrowing accounts

to ALL ELECTRON/CS CORP. for the purpose of establishing an open account

with said company.

Signed

Title

Date

Company

Checking account #