<p> 1888 Mt. Creek Pkwy S. Dallas, Tx 75211 Ph. 214-467-0991 Fax 214-467-0959</p><p>BUSINESS NAME: ______</p><p>D.B.A :______</p><p>STREET ADDRESS: ______</p><p>CITY: ______STATE: ______ZIP CODE: ______</p><p>BILLING ADDRESS: ______</p><p>TELEHPONE: ______FAX: ______</p><p>EMAIL ADDRESS AND/OR WEBSITE: ______</p><p>NAME & TITLE OF PROPRIETOR, PARTNER OR OFFICER: ______</p><p>______SALES TAX I.D. # ______</p><p>CURRENT HOME ADDRESS: ______</p><p>CITY: ______STATE: ______ZIP CODE: ______</p><p>HOME TELEPHONE: ______FAX: ______</p><p>KIND OF BUSINESS: ______</p><p>ROOM FOR DISPLAY? (DETAILS): ______</p><p>TYPE OF BUSINESS: ____ PROPRIETORSHIP ____ PARTNERSHIP ____ CORPORATION</p><p>YEARS INCORPORATED: ______STATE OF CORPORATION: ______</p><p>PERSON(S) AUTHORIZED TO MAKE PURCHASES</p><p>NAME: TITLE:</p><p>NAME: TITLE:</p><p>NAME: TITLE: IT IS REQUIRED BY COMPANY POLICY: YOU ARE TO CONTACT YOUR BANK AND HAVE THEM FORWARD PROPER INFORMATION TO MYSTERY DESIGNS VIA U.S. MAIL, TELEPHONE OR FACSIMILE.</p><p>BANK REFERENCE</p><p>BANK NAME: ______</p><p>ADDRESS: ______</p><p>CITY: ______STATE: ______ZIP CODE: ______</p><p>TELEPHONE: ______FAX: ______</p><p>NAME OF BANK OFFICER TO CONTACT: ______</p><p>TRADE REFERENCES</p><p>NAME: ______</p><p>ADDRESS: ______</p><p>TELEPHONE: ______FAX: ______</p><p>ACCOUNT #: ______</p><p>NAME: ______</p><p>ADDRESS: ______</p><p>TELEPHONE: ______FAX: ______</p><p>ACCOUNT #: ______</p><p>NAME: ______</p><p>ADDRESS: ______</p><p>TELEPHONE: ______FAX: ______</p><p>ACCOUNT #: ______Dealers must uphold the established retail pricing set forth by Mystery Designs. Price discounting below MSRP could void your dealer status.</p><p>*PLEASE ATTACH A COPY OF YOUR TAX ID AND DEALERS LICENSE. NON-DISCLOSURE / NON-COMPETE AGREEMENT</p><p>This agreement is made as of ______, by and between Mystery Designs, LLC., herein known as “MD” located at 1888 Mt. Creek Pkwy S. Dallas, TX and ______, located at ______. This agreement shall govern the conditions of disclosure by MD to ______of certain “Confidential Information” including but not limited to prototypes, drawings, data, trade secrets and intellectual property relating to the Mystery Designs line of products.</p><p>WITH REGARD TO THE COFIDENTIAL INFORMATION, ______HEREBY AGREES:</p><p>1. Not to use the information therein except for evaluating its interest in entering a business relationship with MD based on the line of products. </p><p>2. To safeguard the information against disclosure to others with the same degree of care as exercised with its own information of a similar nature.</p><p>3. Not to disclose the information to others, without the express written permission of MD, except that: a. Which ______can demonstrate by written records was previously known; b. Which are now, or become in the future, public knowledge other than through acts or omissions of ______; c. Which are lawfully obtained by ______from sources independent of MD.</p><p>4. That ______shall not directly or indirectly acquire any interest in, or design, create, manufacture, sell or otherwise deal with any item or product, containing, based upon or derived from the information, except as may be expressly agreed to in writing by MD.</p><p>5. That the secrecy obligations of ______with respect to the information shall continue for a period ending 3 years from the date hereof.</p><p>MD will be entitled to obtain an injunction to prevent threatened or continued violation of this Agreement, but failure to enforce this Agreement will not be deemed a waiver of this Agreement.</p><p>This Agreement is executed on ______(month & day), ______(year) and shall remain in effect for the terms above written or until ______receives written notice releasing receipt from the obligations of this Agreement, whichever event occurs first.</p><p>IN WITNESS WHEREOF the parties have caused this Agreement to be executed by their respective officers thereunto duly authorized. EFFECTIVE DATE:______</p><p>MYSTERY DESIGNS, LLC</p><p>______SIGNED SIGNED</p><p>______NAME PRINTED NAME PRINTED </p><p>______TITLE TILTE </p><p>DATE:______DATE:______</p>