ITL™ Client Credit Application

The information generated by the following questions is to help establish credit for you with Inland Tarp & Liner (ITL™), LLC and will be held in the strictest confidence. In order to process your application in a timely manner, please be sure that all items have been completed.

Name of ITL™ Representative You're Working With: *

Client Contact Information

If additional questions or clarifications are required, please provide designated contact in company (Controller, Executive Assistant, Bookkeeper, etc.).

Contact Name: *

Title: *

Telephone: *

Email *

Client Information

Name of Customer (Billing Entity) *

Trade Name

Mailing Address *

Mailing City *

Mailing State *

Mailing Zip *

Billing Address *

Billing City *

Billing State *

Billing Zip *

Shipping Address *

Shipping City *

Shipping State *

Shipping Zip *

Phone Number *

Fax Number *

Cell Number

Business Information

Business Type: *

Business Incorporated Under State Law: *

Date of incorporation or partnership/LLC agreement: * +

Maximum Line of Credit Required
*

This dollar figure establishes your maximum credit level per payment period. Please take time to calculate a realistic peak period purchasing dollar amount for the next 12 months. If understated, an updated credit review is required to increase line and will require additional time for you and ITL™.

Estimated Yearly Purchases from ITL™ *

This dollar amount is an estimated annual dollar total of purchases for ITL™ complete line of products.

Complete the following for all corporate officers (president, treasurer, secretary, etc.), members, managers, partners, general partners, proprietor, or principle owners:

Full Name *

Title *

Social Security Number *

% Shares Owned *

Home Address *

City *

State *

Zip *

Home Phone Number *

Full Name

Title

Social Security Number

% Shares Owned

Home Address

City

State

Zip

Home Phone Number

Full Name

Title

Social Security Number

% Shares Owned

Home Address

City

State

Zip

Home Phone Number

Full Name

Title

Social Security Number

% Shares Owned

Home Address

City

State

Zip

Home Phone Number

Have any of the above ever declared bankruptcy in any of their businesses? *

Yes

No

If yes, give name and brief explanation *

Banking Information

Name of Account Holder *

Account Number *

Bank Officer Name *

Bank Name *

Bank Fax Number *

Bank Address *

City *

State *

Zip *

Trade References

Trade references should not include banks, credit unions or vehicle/equipment loans.

1. Name *

Fax Number *

2. Name *

Fax Number *

3. Name *

Fax Number *

4. Name

Fax Number

Guarantee

I, (1. FULL NAME) residing at (2. HOME ADDRESS) for and in consideration of INLAND TARP & LINER (ITL™), LLC extending credit at my request to (3. COMPANY OR ENTITY NAME) (Hereinafter referred to as "client") of which I am (4. YOUR TITLE) hereby personally guarantee payment of all obligations of client (including all interest, attorney fees and chages) to INLAND TARP & LINER (ITL™), LLC and do hereby bind myself to pay INLAND TARP & LINER, LLC as presently exists or mar hereafter accure. I do hereby wave all notices and demand of any kind, including notice or default or nonpayment or deferred for payment. I also consent to any modification or renewal of the above credit agreement or any release or modification for security thereafter. Additionally the undersigned guarantor agrees to pay INLAND TARP & LINER (ITL™), LLC's attorney fees associated with the collection of the account and costs incurred in enforcing this guaranty plus all attendant collection costs, whether litigation is initiated or not. I also agree to let the venue of any action against me, at INLAND TARP & LINER (ITL™), LLC's discretion, be in Grant County or Lincoln County, Washington.

1. Full Name

2. Home Address

3. Company or Entity Name

4. Title

Full Name

Last Four of SSN

Full Name

Last Four of SSN

Full Name

Last Four of SSN

Full Name

Last Four of SSN

TERMS AND CONDITIONS OF SALES

This is your agreement with INLAND TARP & LINER (ITL™), LLC (hereinafter referred to as ITL™) in connection with approval for your credit application. The agreements cover payment for goods and services for our business that we may offer you from time to time.

1. Client hereby agrees to pay all amounts due for equipment, supplies, inventory for other goods purchased from ITL plus any finance charges and any other charges and fees according to the terms of this agreement in US funds to: ITL™, at 4172 North Frontage Road East, Moses Lake, WA 98837.

2. As security for any amounts due to ITL™, client hereby grants to ITL™ a security interest in all equipment, supplies, inventory or other goods purchased from ITL™, together with cash and non-cash proceeds of such equipment, supplies, inventory or other goods, including, without litigation, chattel paper and accounts receivable.

3. ITL™ will retain this credit application whether or not credit is extended to client. ITL™ reserves the right at any time to suspend credit, change the credit terms, or demand adequate security from client when, in ITL™'s sole opinion, the financial condition of the client so warrants. In the event any billing is not paid when due, payment for that bill, regardless of prior terms, will become immediately due and owing. Acceptance by ITL™ of less than full payment shall not be construed as a waiver of ITL™'s rights hereunder or at law. Revised 07/2010 Payments received from client may in ITL™'s discretion, be applied to such portions of client's unpaid accounts as ITL™ deems to be appropriate.

4. Shipments will be made on a cash basis until a signed credit application is on file and credit is established. Unless otherwise agreed in writing, terms of credit payment are as follows: net amount of invoice to be paid within thirty (30) days following invoice date. Invoices not paid within 30 days become past due and delinquent. Accounts 60 days past due will be put on automatic COD shipment until the client's account is current. Two late payments in one year may result in the denial of future credit privileges.

5. A finance charge will be assessed on delinquent accounts at the rate of 18% per annum or .049315% per day which shall accrue from the date payment is due, until paid.

6. Client agrees to pay, in the event its account becomes delinquent, all of ITL™'s collection and attorney fees associated with collection of the account, plus all attendant costs, whether or not litigation is initiated. It is further agreed that in the event suit is instituted to enforce any of Client's obligations hereunder, venue of such suit may, at ITL™'s choice, be in Grant County, Washington.

7. Client authorizes ITL™ to inquire into, and to obtain from, any bank, lending institution, credit reference, or credit bureau, whether or not listed in this credit application, any and all information relating to Client's credit worthiness or financial condition.

8. Client agrees to notify ITL™, in writing, thirty (30) days prior to any change of ownership of Client, or of Client's business (including the above information for the buyer), and further agrees to be liable for all purchases by a buyer of the business should said notification not be given. ITL™ may, regardless of the terms stated herein or on any invoices, require all outstanding account balances to be paid in full on demand upon change in ownership, and may refuse to make further sales or extend further credit pending approval of the buyers credit, which approval shall be in ITL™'s sole discretion.

9. In the event that Client is a partnership, it is understood and agreed that each and every partner of said partnership and the martial communities consisting of each partner and his/her respective spouse, if married, are jointly and severally liable for payment to ITL™ of all obligations and indebtedness which Client has incurred or is under or may incur or be under to ITL™.

10. The terms and conditions of this credit application shall be valid and binding upon Client and guarantors who have executed this credit application without notice to the undersigned of its acceptance, and notwithstanding the non-execution hereof by any of the within named owners, partners, officers, and/or guarantors, or by Client, and said terms, conditions and guarantees shall incur to the benefit of and bind of heirs, administrators, executors, successors, (including successor partnerships and/or corporation of Client and/or of the guarantors, regardless of the changes in name and or membership) and assigns of Client and the guarantors.

11. All orders are subject to written acceptance by ITL™. Prices, product listing, line drawings, catalogs, sizes, weights, manufacturing details and prices are subject to change without notice.

12. Client agrees all sales are final. Any returned equipment, supplies, inventory or other goods which ITL™ elects to accept may be subject to a restocking charge.

13. You acknowledge that by clicking on the "Submit" or similar button, you are indicating your intent to sign up for electronic communications from INLAND TARP & LINER (ITL™), LLC and that this shall constitute as your legal signature.

Agreement To Terms *

I agree to the Inland Tarp & Liner (ITL™), LLC Terms & Conditions of Sale

I agree to the INLAND TARP & LINER (ITL™), LLC Consent of Electronic Communications & Submissions

Legal Name of Client *

Date * +

Signature of Officer, Member, Owner Or Partner *

Thank you for your interest in ITL™ and its products! It is our goal to provide you with the best quality products and service at the right price. If at any time you do not feel that we are meeting this goal please contact us directly by phone or mail.

All information provided to ITL™ is held in strictest confidence and is used to help establish credit with ITL™. By carefully screening prospective Credit Client's we eliminate bad accounts and assure you lower prices.

If you have any questions concerning this application, please call us at: 1-800-346-7744. Thank you for your cooperation.