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Application for Credit with Custom Graphics Printing Custom Graphics Printing 6767 Peachtree Industrial Blvd. Norcross, GA 30092-3665 770.729.1145 770.729.1149 (fax)

Today’s Date

Phone / Fax Business Category / SIC Code Year Established EIN Number DUNS Number Accounts Payable Contact E-mail Address / Phone Purchasing Agent Contact E-mail Address / Phone

Bank Information Bank Name Address Phone / Fax Account Numbers

Trade References Company Name Address Accounting Contact Phone Account Number Approx. Monthly $ Volume Company Name Address Accounting Contact Phone Account Number Approx. Monthly $ Volume Company Name Address Accounting Contact Phone Account Number Approx. Monthly $ Volume Company Name Address Accounting Contact Phone Account Number Approx. Monthly $ Volume

I authorize the release of the above credit information to Custom Graphics Printing, for its confidential use only. I understand Custom Graphics Printing extends credit terms of 30 days.

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Please e-mail completed form to [email protected].