Ultimate Sports Co., Inc.
Credit Application
Fax 1-303-545-5404

Company Name________________________________________ Business Phone_______________________

Address: _________________________________________ Business Fax _______________________

P.O. Box# (If applicable)_________________________Email_______________________________________

City:_______________________________State_______Zip Code­­­­­­­­­­­­­­________________

Ship To (If Different) ________________________________________________________________________

Type of Organization: Corporation___ Partnership___ Individual Proprietorship___

If Incorporated, In Which State?____State Resale Tax#____________________# of Years in Business _______

Annual Sales________________ Amount Credit Requested______________

Previous Business Name (If Any)_____________________________________________

Principal Owners/Officers Address & Phone Social Security #

_____________________________ ___________________________________ ________________________

_____________________________ ___________________________________ ________________________

Purchasing Contact_______________________A/P Contact_______________________

Trade Reference:

1. FirmName:_________________________________Acct.#____________________________

Address:___________________________________Phone#___________________________

City, State, Zip:_____________________________ Contact___________________________

2. FirmName:_________________________________Acct.#____________________________

Address:___________________________________Phone#___________________________

City, State, Zip:_____________________________ Contact___________________________

Principal Bank _______________________________________Acct.#_______________

Branch_____________________________________________ Phone#_____________________________

City, State, Zip_______________________________________Contact_____________________________

I/We understand and agree that the information provided is for the purpose of obtaining merchandise on credit. I/We further understand and agree that all accounts or monies due The Ultimate Sports Co. shall be paid in accordance with the Credit Terms stated and agree to pay all reasonable cost of collection. In addition to any court cost and/or attorney fees. I/We, the undersigned, do hereby guarantee payment as individuals, of any indebtedness incurred by virtue of any and all credit extended in accordance with the above agreement and all of its terms and conditions.

By:______________________________________Title:_____________________Date:__________________

By:______________________________________Title:_____________________Date:__________________