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Confidential Credit Application and Agreement

with Cookstown Greens Inc.

6321 9^th Line R.R. #3

Thornton, Ontario L0L 2N0

Phone: (705) 458-9077

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Operating Name Legal Name

Delivery Address: Mailing Address (if different):

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Address Address

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City Province Postal Code City Province Postal Code

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Telephone Fax Telephone Fax

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Accounts Payable Contact Telephone Fax

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Name of Bank Address Telephone Account Number

Owners if a proprietorship or partnership,

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Name Residence Address Telephone

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Name Residence Address Telephone

Directors if a corporation,

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Name Title Telephone

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Name Title Telephone

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Name Title Telephone

Trade References (3):

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Business Contact Address Telephone

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Business Contact Address Telephone

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Business Contact Address Telephone

I hereby certify that the above information on this application is true and correct.

I agree that invoices are to be paid by the 15^th of the month following each invoice.

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Name Title Date Signature

Cookstown Greens, 6321 Line 9 RR#3, Thornton, Ontario L0L 2N0 Canada � Tel: (705) 458-9077 � Fax: (705) 458-1707