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* COMPANY INFORMATION:    
  Company Name:
  Street Address:
  City:    
  State: Zip:
  Phone: Fax:
  Type of Business:  
  Number    
  of Years in Business:    
  Federal Tax Id #:    
  Number of Employees:    
  Annual Revenues $:    
  Own or Rent building:    
  Billing Addrees:
  City:    
  State: Zip:
* BANK REFERENCES:    
  Bank Name: 1. 2.
  Account No.: 1. 2.
  City,State: 1. 2.
  Phone No.: 1. 2.
  Contact: 1. 2.
* TRADE REFERENCES:    
  Name: 1.  
    2. 3.
  Addrees: 1.    
    2. 3.
  City,State: 1.    
    2. 3.
  Phone No.: 1.    
    2. 3.
  Contact: 1.    
    2. 3.
  In applying for credit with Sunshine International Corp.,I authorize the release of any information about our company from the above references.This information can be used to determine our ability and willingness to pay bills the credit period of 30 days.  
* REQUESTED CREDITLIMIT:    
    $  
  Signature: By:
    Date: Title:
  Note: Application must be signed by the owner or partner,if a corporation,an officer must sign.