Date of application:_____________2003

1. Business Name or Individual _______________________________

Mailing Address________________________________City_______________

State____Zip____County__________Phone(  )        Fax(  )________

Email Address_____________________________________________

2. Business or Profession_____________________________________

3. Tax Status: Pays Tax_____Resale or Exempt_____

Sales Tax Certificate No.____________Effective Date________

(Please attach and mail completed sales tax exempt card)

4. Check one of the Following and Answer Appropriate Questions:

_____Corporation If the business is owned by a corporation, state date

incorporated__________________Name of corporation __________________

Name and address of all officers and the resident agent of the corporation:

_________________________________________________________

___________________________________________________________

_____Proprietorship/Personal

If you alone own the business, state: Soc. Sec. No._______

Marital Status __ S __ M __Other

Name____________Home Address_______________________________

City____________State__________Zip_________________________

Phone________________Fax___________________________________

5. Date Present owners Began Operation of Business____________

6. Checking Account Reference:

Name________________________________________________________

Address____________________City_____________State___Zip_____

Phone_______________Fax #______________Acct. No.____________

7. Businesses Where Applicant Has Established Existing Credit Accts.

Name_______________Address__________________City____________

State____Zip_______Fax Number Only__________________________

Name_______________Address__________________City____________

State____Zip_______Fax Number Only__________________________

Name_______________Address__________________City____________

State____Zip_______Fax Number Only__________________________

Name_______________Address__________________City____________

State____Zip_______Fax Number Only__________________________

8. E-Mail Address: ___________________________________________

In making this application and for and in consideration of any credit extended as a result of this application, the applicant and the undersigned, individually and collectively promise to pay all costs of collection, including reasonable attorney fees incurred by Suncoast Precision Tools in collecting money owed on any credit account OR CHECK RETURNED FOR ANY REASON by any of the people or entities named in this application.

The applicant and the undersigned hereby authorizes and gives permission for Suncoast Precision to contact each of the banks and credit references listed above for the purpose of verifying the business and credit reputation of the applicant.

If any credit account established as a result of this application is not paid when due, the account shall bear interest at the maximum rate allowed by law. Checks returned for ANY REASON ARE SUBJECT TO A $15.00 MINIMUM FEE. All payments for items purchased from Suncoast Precision Tools Inc. are due and payable at 7421 114TH AVE NORTH, SUITE #205, LARGO, FL 33773.