Manor Hardware & Construction Supply

Corporate Office Everett Tacoma 21323 68th Ave W 2814 Rucker Ave 11317 Steele St So Lynnwood Wa 98036 Everett Wa 98201 Tacoma Wa 98444 P – 425-775-3335 P – 425-258-1466 P – 253-581-7746 F – 425-775-5589 F – 425-259-2409 F – 253-581-7827

Company Name:______Mailing Address:______City:______State:______Zip:______Business Phone:______Business Fax:______Tax Exempt: Yes_____No______State Tax #______Federal Tax ID#______Bond#______Type Of Business:______Business Start Date:______A/P Contact:______Phone:______Fax:______P/O # Required: Yes____No____Authorized Purchaser List: Yes__No__ Name of Business Owner(s) / Officer(s)______

Guarantors Name:______Phone:______SS#______Name:______Phone:______SS#______

Trade / Bank References Name:______Phone:______Fax:______Name:______Phone:______Fax:______Bank Name:______ACCT#______Phone:______with Manor Hardware Inc. If credit is granted, we promise to pay all bills when rendered. In the event payment is not made, we will pay cost and collection equal to a minimum amount of 25% of the principal amount. Applicant also understands that interest on any unpaid balance will be charged at 18% per annum. If suit or action by an attorney is instituted, we promise to pay reasonable attorney fees in said suit or action. It is specifically understood that all billing, accounts receivable and credit functions are processed through headquarters in Snohomish County,Wa at the option of Manor Hardware Inc. Customer understands that they are waiving their rights to give their permission to Manor Hardware Inc and/or its agents to We make application to Manor Hardware Inc for credit and/or to update and reconfirm our existing accounts and balances verify and/or supplement the information stated herein.

Date:______By:______Owner/Corporate Officers/Partners The undersigned agrees to unconditionally guarantee payment of all sum owed pursuant to this agreement and further agrees to its terms regarding venue. This is intended to be and is a continuing guarantee and shall not be revoked except by written notice to creditor. X:______X:______Guarantor Guarantor Seller’s Use Only Branch:______Salesman:______Comments:______