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Global Envirotech, INC. P.O. BOX 1287/ 120 CROUCH ALVIN, TX 77512/ ALVIN, TX 77511 TELEPHONE: 281-331-0200 FAX: 281-756-8960 Name/Address Last: Name of Business Address City: State Zip Phone First: Tax I.D. Number Middle Initial: Title

Company Information Type of Business Legal Form Under Which Business Operates In Business Since Phone

Corporation Partnership Proprietorship

c d e f g c d e f g c d e f g

If Division/Subsidary, Name of Parent Company Address City State

In Business Since Zip

Bank References Institution Name Check Account # Institution Name Saving Account # Institution Name Loan # Loan Balance

Address

Address

Address

Phone Trade References Company Name

Phone

Phone

Company Name

Company Name

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29/04/2007

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Contact Name Address Phone Account opened since Credit Limit Current Balance

Contact Name Address Phone Account opened since Credit Limit Current Balance

Contact Name Address Phone Account opened since Credit Limit Current Balance

I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understating that it is to used to determine the amount and conditions of the credit to be extended. Furthermore, I hereby authorize the financial institutions listed in this credit application to release necessary information to the company for which credit is being applied for in order to verify the information contained herein.

Signature

Title

Date

file://C:\Softwares\GlobalEnv\creditapplication2.html

29/04/2007

Information

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