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OPEN ACCOUNT APPLICATION
All information contained in this application will remain confidential.

Date:_______________                                                       Tax I.D. No._____________________
Company Name:______________________________   D/B/A_________________________
Mailing Address:______________________________________________________________
Billing Address: ______________________________________________________________ Telephone:___________________________              Fax:______________________________

Type of Business:___________________________            Date Started:______________
Check one    Sole proprietorship____  Partnership____ Corporation____  State____
Name of Senior Executive of the Company_________________________
Is you business Tax Exempt? ___  If yes please attach a copy of your resale certificate and provide us with a blanket certificate of resale.

Bank References
(Please do not list infrequent accounts)
Main Bank:_________________________________                Phone:___________________ Address:__________________________________________Fax:_____________________
Account #(s)___________________________ Name of Bank Officer___________________

Trade References
Trade Reference 1:  Company_________________________ Phone:___________________ Address:_________________________________________  Fax:_____________________
Trade Reference 2:  Company_________________________  Phone:___________________ Address:_________________________________________  Fax:_____________________
Trade Reference 3:  Company:________________________   Phone:___________________ Address:_________________________________________  Fax:_____________________

The undersigned on behalf of the Applicant, authorizes Contractors Depot to obtain such information as it may require from the above bank and trade references which have been furnished by the Applicant for the purpose of obtaining credit.  A fax or photocopy of this form will be deemed as acceptable authorization for the releaser  of any necessary credit information .   The undersigned certifies that this application has been accurately completed and represents current data.
This application is made with the understanding and agreement that all charges will be due and payable by the 10^th day of the month following charges, unless other terms are stated thereon, and that a monthly service charge of 1.5%  will  be paid on all balances which are past due.  In the event the account becomes delinquent, the undersigned agrees to pay all attorneys fees and cost  extended to effect collection of the account.

Name_____________  Signature____________    Title____________