Euro Limited.com 1321 W.Fairfield RD #110 High Point NC 27263 .800-877-3876 To ensure the prompt processing of your credit application, please be sure that all sections are completed properly and allow two weeks for processing. Name and address of Company( Street address only) Year business started _______ ______________________________________________ Type of business___Mfr___Whsl ______________________________________________ ___Ret___Dist ______________________________________________ Type of Product______________ Phone__________________ If Business is A: Sole proprietorship or partnership Name(s) of owner Home address of owner(s) ______________________________________ _________________________ ______________________________________ _________________________ ______________________________________ _________________________ ______________________________________ _________________________ If business is incorporated. year incorporated______ under laws of what state:__________________________ Name of parent company, if subsidiary: __________________________ Names of officers Titles of officers __________________________________ _________________________ __________________________________ _________________________ __________________________________ _________________________ __________________________________ _________________________ Resale: Yes:_____No____ Resale#___________________ Financing secured by:_____Bank___________Supplers _____factor_________SBA loan. Other___________ Collateral secured: ____mach___inventory___equip___acct rec other______________ Bankruptcy: is business currently operating under chapter x1 reorganization _________ yes______________no Reference:(give only names of those you buy from on open account. Name Address Phone 1:_______________________ ________________________ __________ 2:_______________________ ________________________ __________ 3:_______________________ ________________________ __________ 4:_______________________ ________________________ __________ 5:_______________________ ________________________ __________ Name of Bank_____________________________________________ __________ Bank Account#._________________________ Contact_______________________ Type of account_____Com'L_____Savings____Line of credit_____yes_____no Amount $______________ Anticipated Monthly purchases $___________________ Annual sales: $___________________ For the purpose of obtaining merchandise from you on credit, the above statement in writing is made, intending that you should rely on same as correct. Furthermore I hereby authorize the release of all credit information. Signed:[full name of Firm] ______________________________ By: [name and Title] _________________________________ Date_____________________________________________________