EFTA00522361.pdf

kravet 225 Central Avenue South, Bethpage NY 11714 • kravet.com Phone 516.293.2000 Fax 516.420.5595 Email [email protected] )IK credit application KEY BUSINESS INFORMATION Trade Name EM ❑ Legal Name Address EEEEEE ❑ City EEEEEE E E State Zip EEEEE Telephone # 000 OM DO= F. EEL EDO 0000 ME El= 111000 Owner Email DEEDED • MO Dee.nar EIMEMODOMME1O 0000000000.000 Bcoldceepar Email nHEIDEIDEIDO 0000000000.MO 2 ' 4.0 -invoice Yes No Unless otherwise specified, egnvolee Mahe directed to bookkeeper's email eddress. Please provide name. home address and telephone number of owner or an authorized officer, if incorporated. Name Telephone Horne Address City State Zp E Proprietorship Social Security If - - E Partnership E Corp. Fed ID* Date Established i / 'Resale Tax 8 Erµ Date / I 'Please attach copy °feigned resale certificate. D&B II Terms Of Sala Account Terms Desired ❑ N-30 COD Proforma Interim terms are Proforma until review is completed. Credit line requested $ PO equ'red You -1 No Furniture and Carpet orders require a 5046 deposit Balance due odor to shipping. Written PO required for all orders Active Trade References Name Account # Address City State _ Zip Name Account # Address City State Zip Name Account # Address City State Zip Bank Reference Account * Name Address City State Zip Phone * Officer Please note, our charge for returned checks Is $35.00 per check. Credit Information Retease Authorization I/We agree that Kravet Inc. and its subsidiaries may contact any of the references provided, as well as business and consumer reporting agencies, for the purpose at establishing or updating credit terms. Credit Agreement Should the account become delinquent, I/ II be responsible for all costs related to collection efforts, including agency fess, attorney fess and court costs. Authorized Signature Title Date EFTA00522361 kravet 225 Central Avenue South, Bethpage NY 11714 • kravet.com Phone 516.293.2000 Fax 516.420.5595 Email [email protected] NK Business codes: Al2 -Model Home Architect 12 ntenor Designer-Model Home RI4 Retailer-Piece Goods Al 5 Architect-Residential 13 ntenor Designer-MoweRV Production R27 Retailer-Flooring/Carpet A20 Architect-Hospitality 16 ntenor Designer-Restaurant R28 Retailer-Wallpaper AB Architect-Corporate 17 ntenor Designer-RV/Boat R33 Retailer -Chain B12 Builder-Model Home 18 ntenor Designer-Shop At Home R7 Retailer-Drapery B15 Builder-Residential 20 ntenor Designer-In Home R8 Retailer-Furniture BI 6 Builder-Restaurant 21 ntenor Designer-In Office/Showroom T2 Trade Showroom-Agent B4 Builder-Corporate 22 ntenor Designer-Hospitality T4 Trade Showroom-Corporate CII Contract Specther-Hospitality 23 ntenor Designer-Student T5 Trade Showroom-Design Center C13 Contract SpectherEducation 6 ntenar Designer-Display/Trade Show T8 Trade Showroom-Furniture C24 Contract Specifier-Hospitality Cruise J22 obber-COM Manufacturer W19 Workroom-Upholstery C9 Contract Specifier-Healthcare J4 obber-Corporate W20 Workroom-Contract C99 Contract Specifier-Misc. M1 Manufacturer-Apparel W7 Workroom-Drapery 015 Department Store-Residential M3 Manufacturer-Domestics X8 Showhouse D2 Department Store-Display M8 Manufacturer-Furniture X99 Miscellaneous Please describe betow El Export-Carpet O4 Office Dealer-Corporate El 1 Export-Hospitality Q11 Purchasing Agent-Hospialrly E14 Export-Rece Goods Q12 Purchasing Agent-Hotel Property El 5 Export-Residential O17 Purchasing Agent-RV/Boat E19 Export-Upholstery O24 Purchasing Agent-Hospitably Cruise E2 Export-Lighting O26 Purchasing Agent-Manufacturing E3 Export-Distributor O9 Purchasing Agent-Healthcare E6 Export-Display/Trade Show O99 Purchasing Agent-Misc. EFTA00522362