PRINCIPAL INFORMATION

BANKING INFORMATION

TRADE REFERENCES

CONTACT INFORMATION

(Can add multiple in each row, use a semi colon to seperate ";")

CREDIT CARD INFORMATION

( Will not be charged without your authorization )

RESALE PERMIT

Will be resold by me in the form of tangible property; provided, however, that in the event any of the property is used for any purpose other than retention, demonstration, or display while holding it for sale in the regular course of business. It is understood that I am required by the sales and use tax law to report and pay for the tax measured by the purchase price of such property.

AGREEMENT FOR EXTENSTION OF CREDIT

The information contained on this application is submitted by the undersigned for the purpose of obtaining credit. The undersigned expressly agree to make payment in full to Westgate Mfg., Inc. for all purchases in accordance with Westgate Mfg. invoice(s). Should the undersigned default in any such payment, the undersigned expressly agrees to pay a late charge. The undersigned further agrees to pay a reasonable attorney's fee and all other costs and expenses incurred in the collection of any obligation of the undersigned pursuant hereto. This agreement shall become effective when accepted by Westgate Mfg. Inc. authorized representative. The undersigned authorizes Westgate Mfg., Inc. to collect from the customer's bank account or credit card, without prior authorization in the rare event that the customer is negligent and unresponsive about an open balance that has been overdue more than the acceptable period by management, providing that Westgate has sufficient proof of order and delivery and there are no pending disputes. The undersigned shall not transfer or assign its rights or obligations pursuant to this agreement without the prior written consent of Westgate Mfg., Inc.

The undersigned additionally agrees to all terms and conditions in Westgate Mfg., Inc. General Information and Policy Statement.

The undersigned further agrees that all credit transactions shall be considered to have been made in the State of California. The undersigned agrees that in the event of any suit, action, or proceeding arising out of Westgate Mfg., Inc. extension of credit to the undersigned, venue shall be in Los Angeles County, California. The undersigned accepts personal responsibility for all amounts owed to Westgate Mfg., Inc.

The undersigned individual who is either a principal of the credit applicant or a sole proprietorship of the credit applicant recognizing that his or her individual credit history may be a factor in the evaluation of the credit applicant. Hereby consents to and authorizes the use of a consumer credit report on the undersigned by the above named business credit grantor from time to time as may be needed in the credit evaluation process.