Credit Application Corporate Info Legal Business Name Date Established Phone Number Trade Name (if different from Legal Business Name / dba) Fax Number Address City State ZipCode PCs For Everyone Salesrep Accounts Payable Contact Contact Name Contact Phone Contact Email Digital Invoice Delivery Email (Required) Corporate Profile Tax ID / Fed ID D&B Number Stock Symbol Annual Sales Volume Bank / Trade Reference Data Must have account number under same dba and/or legal name Bank Name Checking Account # Savings Account # Loan Account # Contact Name Contact Phone Contact Email Trade References Please provide at least 3 trade references Name Terms Address Phone Credit Request Account Terms Requested Requested Credit Limit Tax-Exempt Organizations Optional Certify Information / Financial Release I certify that the above information is true and correct. Furthermore, I authorize financial institutions to release necessary information to PCs For Everyone (Integrated IT Solutions, Inc) in order to verify the information contained herein.