MINUTE MAN DELIVERY

P.O. Box 3759

Gardena, CA 90247-7459

APPLICATION FOR CREDIT

We expect our monthly credit requirement from you to be about $ __________

Firm Name _____________________________________________________      Telephone _________________________

Address _______________________________    City ___________________     State, Zip  _________________________

Kind of Business ________________________      In business since ________     At above address since _______________

TYPE OF BUSINESS:

Corporation

Partnership

Individual Ownership

If partnership, name partners.  If corporation, name officers:

Name & Title

Address, City, State, Zip

BANK REFERENCES: (at least one)

(please include phone number)

Bank ___________________________           Branch __________________           Acct. # ________________

Address _________________________          City ____________________            State _____________          Zip ____________

Bank ___________________________           Branch __________________           Acct. # _____________

Address _________________________          City ____________________            State _____________          Zip ____________

TRADE REFERENCES: (at least two)

(please include phone and fax number)

Firm Name

Address, City, Zip

Account Number

High Credit Obtained

I/we understand the following and will abide by your regulations:

If granted credit by you, I/we agree to pay all invoices according to your terms which are Net 7.  All overdue unpaid balances over 30 days will be charged a service handling fee of 1 ½ % per month (18% per year).  If my/our account is not paid in full when due, I/we may be placed on a C.O.D. basis.

I/we agree to notify you immediately of any change of ownership.

My/our financial condition is satisfactory and I/we can meet all my/our present obligations:

Yes

No

There are no lawsuits or judgments against me/us at the present time.  If I/we default at any time on the payment of my/our orders, I/we agree to pay any reasonable attorney and/or collection expenses.

FIRM NAME_________________________

SIGNED____________________________

SIGNED____________________________

Title

Title

THE ABOVE INFORMATION IS FOR THE PURPOSE OF OBTAINING CREDIT AND IS WARRANTED TO BE TRUE.  I/WE HEREBY            AUTHORIZE ALL BANK AND TRADE REFERENCES NAMED IN THE ABOVE APPLICATION TO RELEASE INFORMATION  PERTAINING TO MY/OUR CREDIT AND FINANCIAL RESPONSIBILTY TO MINUTE MAN DELIVERY.

Please fill out and fax back to (310) 327-3650