kravet 225 Central Avenue South, Bethpage NY 11714 • kravet.com

kravet 225 Central Avenue South, Bethpage NY 11714 • kravet.com Phone 516.293.2000 Fax 516.420.5595 Email [email protected] credit application KEY BUSINESS INFORMATION Trade Name Legal Name Address City State F. Owner Email Dee. nar Bcoldceepar Email '24.0 -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 )IK EM K EEEEEE K EEEEEE E E Zip EEEEE Telephone # 000 OM DO= EEL EDO 0000 ME El= 111000 DEEDED • MO EIMEMODOMME1O 0000000000. 000 nHEIDEIDEIDO 0000000000. MO Terms Of Sala Account Terms Desired K 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/ attorney fess and court costs. II be responsible for all costs related to collection efforts, including agency fess, 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 Architect-Model Home 12 Al 5 Architect-Residential 13 A20 Architect-Hospitality 16 AB Architect-Corporate 17 B12 Builder-Model Home 18 B15 Builder-Residential 20 BI 6 Builder-Restaurant 21 B4 Builder-Corporate 22 CII Contract Specther-Hospitality 23 C13 Contract SpectherEducation 6 C24 C9 C99 015 D2 El El 1 E14 El 5 E19 E2 E3 E6 Contract Specifier-Hospitality Contract Specifier-Healthcare Contract Specifier-Misc. Department Store-Residential Department Store-Display Export-Carpet Export-Hospitality Export-Rece Goods Export-Residential Export-Upholstery Export-Lighting Export-Distributor Export-Display/Trade Show Cruise J22 J4 M1 M3 M8 O4 Q11 Q12 O17 O24 O26 O9 O99 ntenor Designer-Model Home ntenor Designer-MoweRV Production ntenor Designer-Restaurant ntenor Designer-RV/Boat ntenor Designer-Shop At Home ntenor Designer-In Home ntenor Designer-In Office/Showroom ntenor Designer-Hospitality ntenor Designer-Student ntenar Designer-Display/Trade Show obber-COM Manufacturer obber-Corporate Manufacturer-Apparel Manufacturer-Domestics Manufacturer-Furniture Office Dealer-Corporate Purchasing Agent-Hospialrly Purchasing Agent-Hotel Property Purchasing Agent-RV/Boat Purchasing Agent-Hospitably Cruise Purchasing Agent-Manufacturing Purchasing Agent-Healthcare Purchasing Agent-Misc. RI4 Retailer-Piece Goods R27 Retailer-Flooring/Carpet R28 Retailer-Wallpaper R33 Retailer-Chain R7 Retailer-Drapery R8 Retailer-Furniture T2 Trade Showroom-Agent T4 Trade Showroom-Corporate T5 Trade Showroom-Design Center T8 Trade Showroom-Furniture W19 Workroom-Upholstery W20 Workroom-Contract W7 Workroom-Drapery X8 Showhouse X99 Miscellaneous Please describe betow EFTA00522362