CONFIDENTIAL CUSTOMER SET-UP & CREDIT APPLICATION

Remit Payment to Address:

IEWC Corp

P.O. Box 88545

Milwaukee, WI 53288-0545

BILL TO:

LEGAL NAME: *DBA NAME:

PO BOX:

ADDRESS:

CITY: COUNTY:

STATE: ZIP:

AP CONTACT : EMAIL :

PHONE: FAX:

CHOOSE METHOD OF BILLING:

EMAIL FAX

ACKNOWLEDGEMENT REQUIRED: YES NO TAXABLE: YES NO

If you desire your purchases to be non-taxable, you must provide a copy of your tax form to IEWC with this application.

AGREEMENT

I (we) hereby apply to IEWC Corp, hereafter referred to as IEWC, to open a commercial charge account in my (our) name and hereby request

IEWC to extend credit from time to time to enable me (us) to purchase merchandise and/or services from IEWC. As an inducement to IEWC

to extend credit, and in consideration of IEWC agreeing to extend credit to me (us), I (we) state as follows:

I (we) represent and warrant that all (a) credit information given in connection with this Application and Agreement is true and correct as of

the date hereof, and (b) that I (we) are financially able to comply with the Payment Terms specified herein or on any invoice from IEWC.

It is understood that all purchases of material or services are due Net 30 days of invoice date. Orders may be interrupted if payments are

received later than 45 days of invoice date. Payments are to be sent directly to: IEWC Corp at PO Box 88545, Milwaukee, WI 53288-0545.

I (we) agree to pay a service charge of $25.00 for any checks returned from my (our) bank unpaid for any reason. IEWC shall have the right

to demand payment of the returned check(s) in CASH or CERTIFIED FUNDS or MONEY ORDER immediately. This agreement shall be a

continuing agreement and shall apply to each purchase of merchandise or services for which I(we) do not pay in full at time of delivery.

IEWC Corp may terminate this agreement or restrict or withhold deliveries to my (our) company at anytime without notice.

I (we) will pay all expenses, including reasonable attorney's fees and all collection agency costs incurred by IEWC in the enforcement of this

Agreement and the collection of any charges due hereunder.

I (we) agree to hold IEWC harmless to any actions incurred by a third party such as a collection agency or attorney used to collect a debt.

This information is given in strict confidence for the sole purpose of establishing an open account with IEWC. I (we) hereby authorize IEWC

to request and obtain credit information now, and from time to time as they deem necessary to update their credit files, from any of our trade,

or financial references concerning the status of our business and credit.

Please attach your Credit Reference Fact Sheet which is required to process your application for open credit terms.

Name of Person Preparing Credit Application

Signature

Title

Date

CONFIDENTIAL CUSTOMER SET-UP & CREDIT APPLICATION

Credit Application Addendum

DOMESTIC CUSTOMER FREIGHT INFORMATION

DOMESTIC

PREPAY & ADD

COLLECT

3RD

PARTY BILLING

IF 3RD

PARTY BILLING:

NAME: ______________________________________________________________

ADDRESS: __________________________________________________________

CONTACT INFO: _____________________________________________________

IF COLLECT:

SMALL PARCEL CARRIER: ___________________________________________

ACCOUNT #: _________________________________________________________

WEIGHT LIMITS: ____________________________________________________

TRUCK SHIPMENT CARRIER: ____________________________________________

SPECIAL SHIPPING INSTRUCTIONS: (Will be taken into consideration by IEWC.)

________________________________________________________________________

________________________________________________________________________

WOULD YOU PREFER CONSOLIDATED SHIPMENTS? IF SO …

HOW OFTEN? __________________________________________________________

WHAT DAYS? __________________________________________________________

CONFIDENTIAL CUSTOMER SET-UP & CREDIT APPLICATION

Credit Application Addendum

INTERNATIONAL CUSTOMER FREIGHT INFORMATION

INTERNATIONAL

PREPAY & ADD

COLLECT

3RD

PARTY BILLING

IF 3RD

PARTY BILLING:

NAME: ______________________________________________________________

ADDRESS: __________________________________________________________

CONTACT INFO: _____________________________________________________

IF COLLECT:

SMALL PARCEL CARRIER: ___________________________________________

ACCOUNT #: _________________________________________________________

WEIGHT LIMITS: ____________________________________________________

FREIGHT FORWARDER: _________________________________________________

AIR SHIPMENTS:

NAME: ______________________________________________________________

ADDRESS: __________________________________________________________

U.S. CONTACT INFO: _________________________________________________

OCEAN SHIPMENTS

NAME: ______________________________________________________________

ADDRESS: __________________________________________________________

U.S. CONTACT INFO: _________________________________________________

FREIGHT INCOTERMS: __________________________________________________

SPECIAL CUSTOM REQUIREMENTS: ______________________________________

________________________________________________________________________

________________________________________________________________________