Application For Trade Account

* &Indicates the field is required.

Email Invoices/Statements:

Legal Entiy is

If a corporation or partnership, please list the principal's name and home address. If proprietorship, list the owner's name and home address

Terms requested:

Active trade references (Other fabric suppliers preferred)

RELEASE AUTHORIZATION

I/We agree that Barrow Industries, Inc. may contact any of the trade references provided, in addition to any credit reporting agencies, for the purpose of establishing credit terms. I/We further certify that the information given herein is true and correct. By signing my name below, this serves as authorization for Barrow Industries, Inc. to verify the trade references listed above, concerning my request for credit consideration and to all terms and conditions listed here.

ACCOUNT AGREEMENT

In the event the account is placed for collection, the purchaser shall be liable for all costs of collection, including attorney's fees if collected by law or through an attorney-at-law.