For your absolute peace of mind, your debit or credit card details will be collected on our behalf by a Secure Payments Collection System. This system advises us when your payment has been accepted but will not pass on any card account details to anyone else.

REQUEST FOR CREDIT VERIFICATION

Company Name : Telephone : Address : Number of Years at this Address : City : State : Zip :

** ALL INFORMATION IS STRICTLY CONFIDENTIAL **

BANK CHECKING ACCOUNT NUMBER : SAVINGS ACCOUNT NUMBER I, , as representative of the company named above, authorize the banking institution shown below to release the credit information listed to The Sugar Cane Paper Company, San Francisco, California.     Digital Signature : Date : Name/Title:

TERMS AND CONDITIONS All accounts are COD until a credit application has been completed, reviewed and approved. If any indebtedness incurred pursuant to this request for crdit is not paid in full when due, the party whose signature appears above agrees to pay all coasts of collection, including a reasonable attorney's fee. Any balance so remaining unpaid shall bear interest at a lesser rate of 1.5% per month or the maximum rate permitted by applicable law, until paid in full.

ACCEPTANCE AND APPROVAL Signing in this agreement indicates our acceptance of the terms and conditions as stated. In addition, you authorize, The Sugarcane Paper Company to make any and all inquiries necessary to process this Credit Application.

BANKING INFORMATION   Bank Name : Telephone : Bank Address : Account Representative : City : State : Zip :

CREDIT INFORMATION

FROM:   Company Name : Telephone : Address : Number of Years at this Address : City : State : Zip : Name to Contact : Email :

**PLEASE COMPLETE IN FULL -- ALL INFORMATION IS STRICTLY CONFIDENTIAL**

ARE YOU A: CORPORATION PARTNERSHIP PROPRIETORSHIP INDIVIDUAL INCORPORATED WITHIN THE LAST 12 MONTHS OTHER

OWNERSHIP:             Name Address City State Zip Principal President/CEO

Date Business Established: Federal Tax Number : Annual Sales Volume :

HAS YOUR COMPANY NAME EVER BEEN CHANGED? NO YES IF SO, WHAT WAS THE PREVIOUS NAME(S)?

HAS YOUR ADDRESS RECENTLY CHANGED? NO YES IF SO, WHAT WAS THE PREVIOUS ADDRESS?

NO YES IF SO, WHAT WAS THE DATE OF CHANGE?

TRADE REFERENCES   1. COMPANY NAME ADDRESS CITY STATE ZIP CONTACT NAME EMAIL TELEPHONE ACCOUNT NUMBER

2. COMPANY NAME ADDRESS CITY STATE ZIP CONTACT NAME EMAIL TELEPHONE ACCOUNT NUMBER

3. COMPANY NAME ADDRESS CITY STATE ZIP CONTACT NAME EMAIL TELEPHONE ACCOUNT NUMBER