Credit Application

Please check one:

New Credit Application____ Terms Period Increase Request____ Credit Limit Increase Request____

If your credit limit request is over $2K, please attach two years’ financial statements (balance sheet and income statement).

applicant must fill out this section

Company Name:_________________________________Address:____________________________________

City/State:__________________________________Zip:__________A/P Contact:________________________

Phone Number:__________________Fax Number:________________Email:____________________________

Federal Tax ID #:_______________________________ Sales Tax ID #:________________________________

D&B #:____________________________________________________________________________________

:

Please attach a copy of your Resale Certificate if you are based in Florida, Georgia, California or New York.

Sole Proprietorship:___Partnership:___Corporation:___Other:___

Length of time in business:_____________Owner/Manager _________________________________________

Type of Business:_____________________Credit Limit Request:___________Terms Request:_____________

Credit Card Authorization:

MC___ Visa___ AmEx__ CardNumber:__________________________________________________________

Exp Date:____________Name on Card:

Authorized Signature:____________________________________________Date:________________________

Printed Name:______________________________________________________________________________

I hereby authorize IDI Apparel to charge the credit card listed for any invoices over 60 days outstanding.

Credit References: Please provide phone and fax numbers, or attach your own credit reference sheet.

Company Name: _______________________________________ Contact Person:_______________________

Phone Number:____________________________________ Fax Number:______________________________

# of Years in Business with Reference:___________________________________________________________

Company Name: _______________________________________ Contact Person:_______________________

Phone Number:____________________________________ Fax Number:______________________________

# of Years in Business with Reference:___________________________________________________________

Company Name: _______________________________________ Contact Person:_______________________

Phone Number:____________________________________ Fax Number:______________________________

# of Years in Business with Reference:___________________________________________________________

Bank Reference:

Bank Name:_______________________________________Contact Person:___________________________

Phone Number:______________________Fax Number:________________Account/Loan #:_______________

Address:_______________________________City/State:___________________________ Zip:____________

Checking___Savings___Account/Loan #:________________________Credit/Loan Amount:________________

All orders and other transactions between IDI and customer are governed by IDI's Terms and Conditions of Sale. By submitting an order, you are agreeing to

IDI's Terms and Conditions of Sale. IDI's Terms and Conditions of Sale may not be modified by customer without the express written agreement of IDI.

IDI's Terms and Conditions of Sale can be faxed or mailed to you upon request, a copy of which may be found at www.idi-apparel.com

The undersigned customer (hereinafter, the “Customer”) certifies to IDI Apparel (“IDI”) that the information on this Credit Application is correct and that it is submitted for the purpose of obtaining credit on account. The Customer agrees to allow Bank and Trade References to release credit and account information to IDI. I/We also authorize you and/or your agent to gather whatever information is considered necessary for the evaluation of this credit application, including but not limited to consumer credit reporting agencies. I/we also authorize these banks, suppliers, and other institutions to communicate with you 1) regarding my/our relationship with them and 2) to verify balances in accounts held by me/us, and will hold you harmless from any and all actions as a result of this communication.

Corporate Headquarters: 1302 NW 14^th St., Boca Raton, FL 33486

Call us at 561-350-7770 | Fax. 561-4165258

www.idi-apparel.com