Ewtn Religious Catalogue, Inc

EWTN RELIGIOUS CATALOGUE, INC. 5817 Old Leeds Road Irondale, AL 35210 APPLICATION FOR CREDIT

Thank you for your interest in EWTN Religious Catalogue as a video supplier. **You must provide ALL requested information in order for your credit application to be processed** Forward your completed application to Robert M. Gable, EWTN Home Video Product Manager at [email protected] or Fax (205) 795-5798 / Phone (205) 271-2915

COMPANY INFORMATION:

Business Name: Years in Business:

Address: Sales tax exempt #:

Business form: (Sole proprietorship, Partnership, Owner’s Name: Corporation, Limited Liability Company, Other)

Finance Dept. Contact D&B DUNS #:

Phone: FED TAX ID #:

BANK INFORMATION:

Bank Name: Account #:

Address: Bank Contact:

Phone #:

Fax #:

TRADE REFERENCES:

Name: Name:

Address: Address:

Phone #: Phone:

Fax #: Fax #:

Address:

Phone#:

Fax#: 1 of 2 EWTN RELIGIOUS CATALOGUE, INC. 5817 Old Leeds Road Irondale, AL 35210 APPLICATION FOR CREDIT

I certify that the information contained in this application is complete and accurate. I also certify that I have full authority to execute this credit application on behalf of the applicant company. I authorize EWTN Religious Catalogue to make inquiries into the banking and trade references I have supplied. If credit is granted, I agree to accept and abide by EWTN Religious Catalogue’s payment terms as stated below.

LLC: If the applicant is a Limited Liability Company (LLC), the signatory certifies that he/she has full authority to execute this credit application on behalf of the applicant company and shall state the names of all members and/or directors on a separate addendum to this document.

GP: If the applicant is a General Partnership (GP), the signatory certifies that he/she has full authority to execute this credit application on behalf of the applicant company and shall state the names of all members of the partnership on a separate addendum to this document.

LP: If the applicant is a Limited Partnership (LP), the signatory certifies that he/she has full authority to execute this credit application on behalf of the applicant company and shall state the names of the general partners who have authority to execute this agreement on behalf of the company on a separate addendum to this document. The signatory shall also provide a copy of the limited partnership agreement with this instrument.

Owner’s Name

Company Address:

City, State Zip

Company Phone #

Company Fax #

Printed Name:

Signature:

Initial orders must be prepaid, either by company credit card (Visa, MasterCard, American Express or Discover) or by company check. The first order should be accompanied by a completed credit application. Orders will be shipped via UPS unless otherwise requested. Shipping charges will be added to the invoice. Invoices will be mailed separately following your shipment.

OUR PAYMENT TERMS ARE NET 30. **WE CANNOT SHIP PAST DUE ACCOUNTS.**

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