AWISCO rd Street, Maspeth NY Tel: Fax:

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1 AWISCO rd Street, Maspeth NY Tel: Fax: New Account Application CUSTOMER BILLING ADDRESS: CREDIT AMOUNT REQUESTED: $ SHIPPING ADDRESS: MAIN PHONE: FAX: PURCHASING CONTACT PHONE: PAYABLES PHONE: NAME OF OWNER: PHONE: AREAS OF INTEREST PLUMBING & HVAC STEEL ERECTION & FABRICATION (PLEASE CHECK ALL THAT APPLY) WELDING INDUSTRIAL SAFETY OTHER: INVOICE PREFERENCE (CHECK ONE): FAX **CREDIT CARD #: CV2 CODE: EXP TYPE: WE FULLY AUTHORIZE THE RELEASE OF CREDIT INFORMATION TO AWISCO CORP. FOR THE PURPOSE OF APPROVING A LINE OF CREDIT FOR OUR COMPANY. WE CERTIFY THAT ALL OF THE INFORMATION ON THIS FORM IS CORRECT. WE FULLY UNDERSTAND AWISCO CORP.'S CREDIT TERMS AND AGREE TO THE PROPER PAYMENT IN CONSIDERATION OF EXTENDED CREDIT. APPLICANT AGREES TO PAY ANY COLLECTION COSTS INCURRED TO COLLECT THE UNPAID BALANCE, INCLUDING INTEREST ON THE UNPAID BALANCE AS ALLOWED BY LAW AND ANY REASONABLE ATTORNEY'S FEES AUTHORIZED SIGNATURE: **AWISCO CORP. RESERVES THE RIGHT TO CHARGE THE ABOVE CREDIT CARD NUMBER FOR ALL BALANCES OUTSTANDING BEYOND ESTABLISHED PAYMENT TERMS. CUSTOMER S INITIALS: Credit References BANK BRANCH: TEL: FAX: CHECKING ACCOUNT #: LIST THREE (3) TRADE REFERENCES AND APPROXIMATE AMOUNT OF ANNUAL PURCHASES FROM EACH: TEL: FAX: TEL: FAX: TEL: FAX: IS A PURCHASE ORDER REQUIRED YES NO TAX EXEMPT UPON COMPLETION PLEASE FAX TO OR TO credit@awisco.net For Awisco Use Only ACCOUNT #: YES NO (IF YES CERTIFICATE MUST BE ATTACHED) DATE OPENED: OPENED BY: SALESPERSON: BRANCH #: TERRITORY: PL: GL: LIM: CODE:

2 . Awisco 222 US Hwy 206 Branchville, NJ Tel: Fax: Website: Susie Klein Credit Manager Dear Customer, Welcome to the AWISCO Easy Pay system. It is the easiest system to make sure your account stays current. Please fill out the attached form and AWISCO will take care of the rest. You will be notified by or fax of any charges being put on your account. If you have any specific requests regarding your charges, do not hesitate to let me know and I will make sure that we accommodate your requests. Please fax or the completed form to me. I appreciate your cooperation in helping us to offer you a better purchasing experience with AWISCO. We truly appreciate your business. Sincerely, Susie Klein

3 rd Street, Maspeth NY Tel: Fax: EASYPAY BILL TO BILLING ADDRESS: TEL: FAX: CREDIT CARD INFORMATION NAME ON CARD: CREDIT CARD #: CV2 CODE: CARD TYPE: MASTERCARD VISA AMEX EXP AUTHORIZED SIGNATURE: YOUR AUTHORIZED SIGNATURE GIVES CONSENT TO CHARGE YOUR CREDIT CARD AUTOMATICALLY FOR AWISCO PURCHASES. CUSTOMER S INITIALS: TERMS AND CONDITIONS 1. The Customer hereby certifies the information in this account to be correct. 2. AWISCO shall at all times remain the sole owner of the Cylinders/Rental Equipment. The Customer agrees to keep the Cylinders/Rental Equipment in its sole possession and not to loan the Cylinders/Rental Equipment to any third party without the written permission of AWISCO. 3. The Customer consents to the obtaining if credit and other information as may be used at any time in connection with the Customer account hereby applied for and to the disclosure of any credit information concerning the Customer and its principals. 4. Terms: The Customer shall pay all outstanding balances in full at the end Credit References of each month. Payments are charged automatically for the sale of gas, Cylinder/Equipment rentals, applicable fees and surcharges, or other products and services by AWISCO. Payment must be applied to a major credit card. 5. The Customer agrees that it shall not allow anyone other than AWISCO or its authorized agent to fill the Cylinders. 6. The Customer shall be responsible for AWISCO s Cylinders/Rental Equipment while in the Custome r s possession and shall keep them free from liens or encumbrances. The Customer agrees to notify AWISCO of any loss or damage to a Cylinder/Rental Equipment. If lost or damaged while in the customer s possession, the Customer shall pay to AWISCO on demand the cost, in AWISCO s sole judgment, of replacing or repairing the Cylinder/Rental Equipment. Upon termination of service, all Cylinders/Rental Equipment shall be returned to AWISCO in the same condition received, ordinary wear and tear expected. 7. The customer shall notify AWISCO immediately of any change in the Customer s address. If Customer fails to do so, then Customer shall be liable to pay AWISCO for any costs incurred by AWISCO in locating the Customer, including a minimum administration charge of $ AWISCO shall not be liable for any indirect, special, incidental or consequential damages caused by or arising out of the delivery, installation, operation, use or repossession of the Cylinders/Rental Equipment or from any defect there-in or in any part thereof. AWISCO HEREBY DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PRACTICAL PURPOSE. 9. The Customer acknowledges that AWISCO will provide it with an accounting balance of the number of Cylinders in its possession from time to time. The Customer understands that such balance may be requested of AWISCO. The Customer will review that balance and report any discrepancies to AWISCO on a timely basis, but no later than 30 days from receipt, otherwise the Customer shall be deemed to accept such balance. 10. AWISCO has the right to conduct Cylinder audits at the Customer s place of business from time to time. AWISCO will provide at least 24 hours notice of such audit which will be conducted during business hours. 11. The Customer acknowledges that if it does not adhere to these terms that AWISCO has the right to suspend credit privileges. THE UNDERSIGNED HAS READ AND ACCEPTS THE ABOVE CYLINDER CARE AGREEMENT AND CREDIT TERMS. PRINT SIGNATURE: UPON COMPLETION PLEASE FAX TO OR TO credit@awisco.net For Awisco Use Only ACCOUNT #: BY: NOTES: DATE AUTHORIZED:

4 CYLINDER RESPONSIBILITY AGREEMENT The cylinders used to deliver the compressed gases ordered by (hereinafter customer ) are the property of Awisco Corp. (hereinafter AWISCO ). The customer recognizes this and agrees to take proper care of the cylinders, including accounting for the cylinders whereabouts after delivery by AWISCO, while the customer is in control of the cylinders. (hereinafter the customer representative ) also agrees to be responsible for the care, custody and control of AWISCO S cylinders which includes accounting for the cylinders whereabouts while in the possession of the customer. The customer and customer s representative agree that the cylinder balance indicated on AWISCO s monthly invoice. After 60 days from the invoice date the cylinder balance will be deemed binding upon the customer and the customer s representative. The cylinder balance on AWISCO s invoices is calculated by starting with the balance on AWISCO s prior invoice and then by adding any cylinders delivered to the customer and subtracting the number of cylinders picked up from the customer by AWISCO. The number of cylinders delivered and picked-up by AWISCO is signed off by an employee of the customer on an AWISCO delivery ticket. (A copy of an AWISCO delivery ticket is enclosed). In the event that the customer cannot account for all AWISCO s cylinders that were in the customer s care, custody or control, then the customer and the customer s representative agree to compensate AWISCO for the loss of the use of the cylinders pursuant to the schedule of cylinder values attached hereto as Exhibit B Exhibit B may be updated from time to time by AWISCO to reflect current cost. The customer and the customer s representative agree that the payment by the customer or the customer s representative for the loss of the use of cylinders does not transfer title to the customer or customer s representative, and the cylinders remain the property of AWISCO. Any cylinders recovered by the customer or the customer s representative after payment for its cost of use will be fully credited by AWISCO less the applicable rental fee for the period from payment to the return of the cylinder. If this accurately refects the customer s and the customer s representative s understanding, and the customer s and customer s representative consents to such agreement please sign where indicated below. I HAVE READ THE FOREGOING, UNDERSTAND ITS TERMS AND AGREE TO SUCH: CUSTOMER rd Street Maspeth, NY Tel: Fax: C Gleam Street West Babylon, NY Tel: Fax: Park Avenue Bronx, NY Tel: Fax: Name: Signiture: Title: 26 Industrial Drive West Milford, NJ Tel: Fax: Lakeside Avenue West Orange, NJ Tel: Fax: US Highway 206 Branchville, NJ Tel: Fax: AWISCO REPRESENTATIVE 201 Harvard Avenue Stamford, CT Tel: Fax: Name: Signiture:

5 EXHIBIT B AWISCO s Schedule of Cylinder Values Size / Family Types Per Cylinder Value HPS Small Oxygen, Nitrogen, Argon, mix $ HPL Large Oxygen, Argon, Mix $ LPS Small Acetylene and Propane $ LPL Large Acetylene and Propane $ LIQ Liquid Oxygen, Argon, Nitrogen, CO2 $ LIQ3 Mega Liquid Oxygen $ AL Aligal Food and Beverage Gas $ EHP Extra High Purity/ (Helium 524) $800.00