<p> 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)</p><p>Today’s Date</p><p>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</p><p>Bank Information Bank Name Address Phone / Fax Account Numbers</p><p>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 </p><p>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.</p><p>Authorized By</p><p>Title</p><p>Date</p><p>Please e-mail completed form to [email protected].</p><p>© 2007, Custom Graphics Printing.</p>