New Account Information

Picture-it Inc. 1703 Route 27 Edison, NJ 08817

Phone: (732) 819-0420 Fax: (732) 572-4216

Company Name:___________________________________________________________________________________

Address:_____________________________ City:______________________ State:____________ Zip:_____________

Phone:_________________________________________ Fax:_____________________________________________

Resale number (if applicable):_______________________ Federal ID# (if applicable)____________________________

Business type: Partnership__________________ Sole Proprietorship________________ Corporation________________

Principal's name:___________________________________________ Years in this business: _____________________

Social Security #:____________________________________ Home phone #:___________________________________

Credit references (3)

Name:________________________________________ Address: _____________________________________________

City:_________________________________________ State:____________________________ Zip: ________________

Credit Extended:___________________________________ Phone:____________________ Fax: ___________________

Name:__________________________________________ Address: ___________________________________________

City:_________________________________________ State:____________________________ Zip: ________________

Credit Extended:________________________________ Phone:____________________ Fax: ______________________

Name:________________________________________ Address: _____________________________________________

City:_________________________________________ State:____________________________ Zip: ________________

Credit Extended:__________________________________ Phone:____________________ Fax: ____________________

Bank:______________________________ Branch:_________ Address:________________________________________

Account #: Savings____________________________________ Checking______________________________________

Address:_________________________________________________________________________ Branch:___________

Phone:____________________________ Fax:___________________________ Contact:___________________________

Principals of company:

Name:______________________________________________________ SS # ___________________________________

Home Address:___________________________ City:______________________ State:________ Zip:________________

Own:____________ Rent:_____________ Company title:____________________ Home Phone:_____________________

Name:________________________________________________ SS# :_________________________________________

Home Address:__________________________ City:________________________ State:________ Zip:_______________

Own:_________ Rent:____________ Company title:___________________________ Home Phone: __________________

I hereby certify that the information submitted on this application is correct and authorize Picture-it Inc. to investigate our

credit and references.

It is understood that the terms offered by Picture-it Inc. are net 30 days on each purchase, and as buyer, I hereby agree to pay

for all purchases within these terms.

An interest rate of 11/2 % will be charged on all invoices over 30 days. If there are outstanding invoices (over 60 days), all further

orders must be paid on a COD basis, until all bills are paid.

I further agree if collection assistance is required, that I will pay all costs and expenses incurred by Picture-it Inc. in collecting all

unpaid indebtedness, including attorney and collection fees.

Signed:________________________________________________ Date:________________________________________

Title: ______________________________________________________

Authorization to release credit information to Picture-it Inc.

ATTN: Credit Department

RE: Credit Application

I authorize the information requested by Picture-it Inc. to be released to them.

Bank:_______________________________________________ Address________________________________________

City:__________________________________State__________________________Zip:____________________________

Account(s):__________________________________________________________________________________________

Signed:_________________________________________ Title:_______________________________ Date:___________

I authorize Picture-it Inc. to charge any and all invoices that are overdue 45 days to my credit card.

American Express:___________________________________________ Date of Expiration:_________________________

Visa/MasterCard:____________________________________________ Date of Expiration:_________________________

Signature of cardholder:____________________________________________ Date;_____________________________