DEALER APPLICATION

Extreme Snow, Ltd.

The information listed below must be completed and returned to us as soon as possible so that we may establish your account. Please understand that this application applies to becoming an active wholesale customer. If you wish to have a credit line with us and to avoid COD shipments a credit application must be filled out and approved.

Business Information

Complete Legal Name:

Business/Trade Name: Sales Tax #:

Business Address:

City, State & Zip:

Shipping Address (if different):

Business Phone: Fax Number:

E-mail Address:

Web Address:

Name of Primary Contact:

Accounts Payable Contact:

Type of Business: Sole Proprietorship Partnership Corporation Other:

Purchase Order Required: Yes No

Information on Business Owners or Officers

Name & Title: Name & Title:

Residence: Residence:

City, State, Zip: City, State, Zip:

Home Phone: Home Phone:

Please check all that applies to what best describes your business

Is your business: Dealership Parts House Repair Shop

For: Snowmobile ATV Trailer Lawn & Garden Motorcycle

Brands Sold:

Please name two trade suppliers you use that are in our business

Name: Name:

Address: Address:

City, State & Zip: City, State & Zip:

Area Code & Phone: Area Code & Phone:

Terms

In consideration of you extending credit to the above named firm at my/our request, I/we hereby personally guarantee payment of all obligations to you until withdrawn by me/us by certified mail.

Dated this ____________ day of ______________________, 20________

Signed ___________________________________________________________________

Signed ___________________________________________________________________

PLEASE PRINT COMPLETED FORM AND SIGN WHERE APPLICABLE

Return completed form by mail or fax to: Extreme Snow, Ltd. | PO Box 226A | Malta, IL 60150
815-895-0400 | Fax 815-346-1366

The remainder of this application is for open accounts ONLY. If you do not want an open account with Extreme Snow, you do not need to complete this portion of the application.

Credit Information

Complete Legal Name: Phone:

Business/Trade Name:

City, State & Zip:

Shipping Address (if different):

Mailing Address:

Please list three credit references and one bank reference – no personal references

Bank Name: Name:

Address: Address:

City, State, Zip: City, State, Zip:

Account Number: Account Number:

Area Code & Phone: Area Code & Phone:

Fax Number: Fax Number:

Name: Name:

Address: Address:

City, State, Zip: City, State, Zip:

Account Number: Account Number:

Area Code & Phone: Area Code & Phone:

Fax Number: Fax Number:

Terms of Credit

Applicant agrees that all credit extended pursuant to this application shall be on the following terms and conditions: 1) All account balances are due on a Net 15 basis from shipment date. 2) Any invoice not paid on or before said date will be considered delinquent and will bear interest at the rate of 1.5% compounded monthly. 3) The applicant will pay or reimburse Extreme Snow, Ltd. For all costs and expenses, including court costs and attorney’s fees and costs and expenses, incurred in collecting any amount due from Applicant.

This Dealer Application shall be binding when accepted in writing by Extreme Snow, Ltd in the state of Illinois and shall be governed by the laws of the State of Illinois. Applicant hereby consents to the jurisdiction of any federal court in the State of Illinois or any state court located in DeKalb County, Illinois, with respect to any legal action commenced hereunder to collect any amounts owed by Applicant.

__________________________________________________ _______________________
Read, Acknowledged & Accepted                                             Dated

Customer Consent and Authorization

I, of
(Name of Owner/Officer) (Business Name)

Business Address:

City, State & Zip:

Hereby authorize
(name of bank)

Bank Address:

City, State & Zip:

To disclose financial records concerning the following:

Account Number: Type of Account:

Account Number: Type of Account:

Account Number: Type of Account:

To Extreme Snow, Ltd for the following purpose(s):

to establish an open line of credit to update records Other:

I understand that this Authorization may be revoked by me in writing at any time before my records, as described above, are disclosed, and that this Authorization is valid for not more than three (3) months from the date of my signature.

_______________________________________________________ _______________________
Customer Signature                                                                              Dated

PLEASE PRINT COMPLETED FORM AND SIGN WHERE APPLICABLE

Return completed form by mail or fax to: Extreme Snow, Ltd. | PO Box 226A | Malta, IL 60150
815-895-0400 | Fax 815-346-1366