Other:

How long under current ownership? How did you hear of us?

Would you like a Sales Rep to call on you? Yes No Do you have a current Catalog? Yes No

NEW BUSINESS VERIFICATION FORMThank you for your recent order. We want to make sure that we have the correct information in our system. To ensure accuracy, we would like to verify your account information. Please complete the form below and fax it to (877) 324-3377. We will make sure that your account is set up correctly and your orders will get processed without any problems. If you have any questions, please contact Customer Service at (888) 333-2260.

BUSINESS NAME: SHIP TO:

Street Address: Street Address:

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

Phone: Buyer:

Fax: Email:

GENERAL INFORMATION

Contact Name: Tax ID:

A/P Phone: NY & MD Resale #:

A/P Fax: A/P Email:

ACCOUNTS PAYABLE INFO

Toy Store Gift Store Pharmacy

TYPE OF BUSINESS

OtherECommerce Aquarium Zoo Educational Supply

PRINCIPLE INFORMATIONPrinciple Name(s): Phone:

Address: Fax:

City, State, Zip: Email:

BUSINESS TYPE: C Corporation S Corporation Partnership Sole Proprietor LLC

PAYMENT INFORMATION

Please charge (check one): This order only. This order and all future orders. Applying for terms (complete credit app)

Select One: Visa Mastercard American Express Discover

Card Number:

Expiration Date: SCC#: Name on Card:

I hereby certify that all merchandise purchased from CNR Products Inc. will be purchased for resale in the regular course of business. I hereby authorize CNR Products Inc. to charge the above referenced credit card for the related transaction. I agree to all terms and conditions set forth by CNR Products Inc.

SIGNATURE: TITLE: DATE:

PO Box 288Florida, NY 10921888.333.2260www.3c4g.comwww.stylebybliss.com

CREDIT APPLICATIONAll orders are Prepay until credit is approved. Prepay by credit card or check for the full amount of the order (plus freight) to release the order immediately. Please allow 2-4 weeks for shipping on orders applying for net terms.

BUSINESS NAME: SHIP TO:

Street Address: Street Address:

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

Phone: Buyer:

Fax: Email:

GENERAL INFORMATION

Bank Name: Branch:

Address: Address:

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

Phone: Fax: Contact Person:

Checking Account: Savings Account:

APPLICANT’S BANKING INFORMATION

TRADE REFERENCES (do not list prepaid, COD or suppliers with less than 1 year purchasing experience)

I hereby certify that all merchandise purchased from CNR Products Inc. will be purchased for resale in the regular course of business. Additionally, I hereby authorize the references listed above to divulge any pertinent information regarding the credit status of this business to CNR Products Inc. I understand that all information is held in the strictest of confidence and used solely for credit consideration purposes. I agree to all terms and conditions set forth by CNR Products Inc.

SIGNATURE: TITLE: DATE:

PO Box 288Florida, NY 10921888.333.2260www.3c4g.comwww.stylebybliss.com

Company Name: Company Name:

Address: Address:

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

Phone: Fax: Phone: Fax:

Acct#: Acct#:

Company Name: Company Name:

Address: Address:

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

Phone: Fax: Phone: Fax:

Acct#: Acct#: