kravet 225 Central Avenue South, Bethpage NY 11714 + kravet.com Phone 516.293.2000 Fax 516.420.5595 Email credit@kravet.com credit application KEY BUSINESS INFORMATION Please enter the code that best describes your type of business: (see reverse side for codes) Trade Name J I I I Legal Name LI | Address | City Country | State Zip Telephone # Fax LL Cell # j= Owner Email e | CKIOUIUUIU. err OOOO OOOO e OO oo. | Belew SS eiciccicicicio e — — ican &e-invoice Yes| | No| | Unless otherwise specified, e-invoice will be directed to bookkeeper’s email address. Please provide name, home address and telephone number of owner or an authorized officer, if incorporated. Name Telephone Home Address — ity LTT sSState Zip [ ] Proprietorship Social Security # - > [| Partnership CJ Corp. Fed ID# Date Established / i *Resale Tax #2 Exp. Date ___ /____/ “Please attach copy of signed resale certificate. D&B # Terms Of Sale Account Terms Desired N-30 |COD Proforma Interim terms are Proforma until review is completed. Credit line requested $= PO required Yes _ No| | Furniture and Carpet orders require a 50% deposit. Balance due prior to shipping. Written PO required for all orders. Active Trade References Name Account # Address City State Zip Name ____________ Account # Address City ____mm__ 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 Release Authorization \/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 of establishing or updating credit terms. Credit Agreement Should the account become delinquent, I/we will be responsible for all costs related to collection efforts, including agency fees, attorney fees and court costs. Authorized Signature CCCéSTTite@. WW CCCCC‘CSC#O@atl@ EFTA00522361

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kravet 225 Central Avenue South, Bethpage NY 11714 + kravet.com Phone 516.293.2000 Fax 516.420.5595 Email credit@kravet.com Business codes: A12 A15 A20 AS B12 B15 B16 Ba ci c13 C24 cs cso B15 b2 Et E11 E14 E15 E19 E2 E3 E6 Architect-Model Home Architect-Residential Architect-Hospitality Architect-Corporate Builder-Model Home Builder-Residential Builder-Restaurant Builder-Corporate Contract Specifier-Hospitality Contract Specifier-Education Contract Specifier-Hospitality - Cruise Contract Specifier-Healthcare Contract Specifier-Misc. Department Store-Residential Department Store-Display Export-Carpet Export-Hospitality Export-Piece Goods Export-Residential Export-Upholstery Export-Lighting Export Distributor Export-Display/Trade Show n2 3 n6 n7 ns 120 121 122 123 16 J22 Ja M1 M3 MB 04 ait Qi2 Qi7 a24 a26 as as9 Interior Designer-Model Home Interior Designer-Movie/TV Production Intenor Designer-Restaurant Interior Designer-RV/Boat Intentor Designer-Shop At Home Interior Designer-in Home Interior Designer-In Office/Showroom Interior Designer-Hospitality Interior Designer-Student Interior Designer-Display/Trade Show Jobber-COM Manufacturer Jobber-Corporate Manufacturer-Apparel Manufacturer-Domestics Manufacturer-Furniture Office Dealer-Corporate Purchasing Agent-Hospitality Purchasing Agent-Hotel Property Purchasing Agent-RV/Boat Purchasing Agent-Hospitality - Cruise Purchasing Agent-Manufacturing Purchasing Agent-Healthcare Purchasing Agent-Misc. R14 R27 R28 R33 R7 R8 T2 14 15 Ts wig w20 W7 x8 x99 Retailer-Piece Goods Retailer-Flooring/Carpet Retailer-Wallpaper Retailer-Chain Retailer-Drapery Retailer-Furniture Trade Showroom-Agent Trade Showroom-Corporate Trade Showroom-Design Center Trade Showroom-Furniture Workroom-Upholstery Workroom-Contract Workroom-Drapery Showhouse Miscellaneous - Please describe below EFTA00522362