Business Physical Address

Net 30 Charge Account Application

815 W. University Drive, Suite 101Tempe, AZ 85281

p 480/968/7821f 480/968/8765

www.us004.alphagraphics.comTax ID#: 86-0846888

Name of Business

Street Address

City

Phone

State Zip

Fax

Product or Service you offer

Amount of Credit you desire per month

Business Classification

Sole Proprietorship Corporation Partnership

Company Owner's Name

Title Phone

8

If credit is granted (I) (we) promise to pay bills when rendered. (I) (We) understand all invoices are payable within 30 days and that a service charge of 11/2 % per month will be added to (my) (our) past due account. in the event payment is not made and (my) (our) account is referred to a collection agency, (I) (we) will pay all costs of collection. If legal action is required (I) (we) will pay reasonable attorney's fees resulting from such action. (I) (We) authorize the above listed bank(s) and trade references to release to AlphaGraphics any credit or financial information that AlphaGraphics may request and further agree if AlphaGraphics grants credit to comply with the above terms of credit.

The following persons are authorized to sign for charges:

Name Title

Signature

Date

Rev. 08/05

Billing Address

Name of Business

Street Address

City

Phone

State Zip

Fax

Billing Contact Person

e-mail address

Are Purchase Orders Required? Yes No

Tax Exempt # (if applicable)Please fax a copy of tax certificate to 480.968.8765

(required)

(required)

Name

Address

City State Zip

Phone Fax

Account #

for office use

Name

Address

City State Zip

Phone Fax

Account #

for office use

Name

Address

City State Zip

Phone Fax

Account #

for office use

•••

Please list 3 creditors whom you have verifiable lines of credit. Please include account numbers if needed to verify information.You may submit a prepared list of references that contain the required information.

STEP ON

E: CO

MPA

NY IN

FORM

ATION

STEP TWO

:: CREDIT REFEREN

CES

STEP THREE:: COMPLETION

*Please allow 3 business days for processing completed applications

Sign and fax this and other applicable documents to 480.968.8765

INDIVIDUAL OR JOINT PERSONAL GUARANTEE

I, (we), , residing at

, for and in consideration of your extending credit at my request to

, (hereinafter referred to as the "Company"), of which I (we) are

, hereby personally guarantee to you the payment at

in the state of

of any obligation of the Company and I (we) hereby agree to bind myself to pay you on demand any sum which may become due to you by the

Company whenever the Company shall fail to pay the same. It is understood that this guaranty shall be a continuing and irrevocable guaranty

and indemnity for such indebtedness of the Company. I (we) do hereby waive notice of default, non-payment and notice thereof and consent to

any modification or renewal of the credit agreement hereby guaranteed.

Date 20

Signature

Signature

Witness

Address

name of company

title