368 South McCaslin Blvd # 341 Louisville, CO 80027 877-369-6818 fax 720-890-8457

Application for Credit

Company Name:

Billing Address:

Shipping Address:

Phone: ( ) Fax: ( ) Billing Fax( )

Business Description:

Corporation: Partnership: L.L.C.: Sole Proprietorship: Fed ID#

Year of Corporation: State of Corporation: # Years Established:

Name of Parent Company:

Address of Parent Company:

Sales Tax Resale Number:

Requested credit limit

Owners/Stockholders/Partners/Officers

*Name ____________________________________Address_________________________________________

City_________________________________State_______ Zip____________Title_______________________

*Name ____________________________________Address_________________________________________

City_________________________________State_______ Zip____________Title_______________________

Trade References

*Name _________________________Account # _______________ Address____________________________

City_____________________State_________ Zip __________Phone________________Fax______________

*Name _________________________Account # _______________ Address____________________________

City_____________________State_________ Zip __________Phone________________Fax______________

*Name _________________________Account # _______________ Address____________________________

City_____________________State_________ Zip __________Phone________________Fax______________

To the best of my knowledge the above statements are true. My signature below indicates my permission to obtain credit information from the sources referenced and attests financial responsibility and willingness to pay invoices in accordance with terms. Applicant agrees to pay for each purchase according to the terms of sale of Windy Peaks in effect at the time of purchase. Applicant agrees to pay interest at the rate of 1.5% per month on all invoices overdue from the date of purchase. Applicant agrees to pay attorneys fees and collection costs in the event legal action is brought to enforce any of the terms or conditions of purchase. I have read, understand and agree to the above terms.

Authorized Signature Printed Title Date

Personal Guarantee

The undersigned hereby personally guarantees to perform all the terms and conditions of the applicant, including without limitations, personally guaranteeing payment for all merchandise purchased by applicant from Windy Peaks. In the event the conditions of this guarantee come into existence, the undersigned guarantors, their personal representatives, executors, administrators, and assigns shall be bound by the terms set forth herein. I have read, understand, and agree to the above guarantee.

Authorized Signature Name Printed Social Security # Date