GATTO ELECTRIC SUPPLY COMPANY

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SUBSIDIARY LOCATIONS. GATTO-TRUMBULL ELECTRIC SUPPY COMPANY. 714 MAIN AVE. S.W., WARREN, OHIO 44483. PHONE 330-399-2795 FAX ...
DATE_____________________ APPLICATION FOR OPEN ACCOUNT

GATTO ELECTRIC SUPPLY COMPANY WHOLESALERS FLUORESCENT- INCANDESCENT LIGHTING 4501 Willow Parkway

Cleveland, Ohio 44125

Phone (216) 641-8400

Fax (216) 641-7726

We are members of the ELECTRICAL DISTRIBUTORS CREDIT ASSOCIATION Company Name_____________________________________ Street Address______________________________________

________________________________ ________________________________ Business Phone________________

Applicant’s Name_____________________________________ Mail Address_________________________________________

______________________________________ _____________________________________

Fax_____________________ Home Phone______________

How long in Business?_________________ Corporation____Individual Proprietorship___ Partnership___ Fed ID or SS#___________________________________ Taxable?_____ Tax Exemption No._______________ Is Purchase Order Required?_________ Certificate Enclosed?_____ Person Authorized to Make Purchases_________________________________________________________________________ Names of Spouse, Partners, or Officers: _____________________________ Title________________________ Address____________________________ ____________________________ Title____________________ Address____________________________ Title______________________ ____________________________ Address____________________________ Outstanding Loans or Financing______________________________________________________________________________ Bank_________________ Branch_________________ Account No.____________________ Account Type___________ Bank_________________ Branch_________________ Account No.____________________ Account Type___________ Trade/Business References Address City & State Phone Fax 1.________________________________________________________________________________________________________ 2.________________________________________________________________________________________________________ 3.________________________________________________________________________________________________________ The above information and any other information submitted is given for the purpose of obtaining credit and is warranted to be true. Applicant__________________________________________ Date________________________________________ This Application is a contract between the above named Electrical Distributor and the Applicant. The Distributor shall Maintain a purchase money security interest in all goods purchased by the Applicant pursuant to any credit extension issued hereunder. All. Invoices unpaid after twenty- fifth day of the month following purchase shall accrue a monthly finance charge at the rate specified by the invoice or any other rate as specified by notice to the Applicant. The Individual Applicant and the undersigned Company authorize the receipt and exchange of credit information and agree to be bound by the terms and conditions of this Application and to the reverse side hereof and to be liable for any and all charges on this account. Signature of Applicant(s) 1.______________________________________ 2.______________________________________

Company_______________________________________________________ Officer_________________________ Title_________________________ Officer_________________________ Title_________________________

Credit Limit $_________________________________

SUBSIDIARY LOCATIONS GATTO-TRUMBULL ELECTRIC SUPPY COMPANY 714 MAIN AVE. S.W., WARREN, OHIO 44483 PHONE 330-399-2795 FAX 330-392-3718

08/01/07 REV.

GATTO-PORTAGE ELECTRIC SUPPLY COMPANY 413 WEST SPRUCE, RAVENNA, OHIO 44266 PHONE 330-297-7444 FAX 330-297-7483