CREDIT APPLICATION

ELECTRONIC SIGNATURE AND TRANSACTION DISCLAIMER: By pressing the Submit Button below, I/we agree to electronically sign this credit application. I/we are agreeing that your electronic signature is the legal equivalent of your manual signature on this Clearance Form. Unless expressly stated otherwise in a written communication in other than electronic form, or unless the author EXPRESSLY designates herein a written portion of this electronic message to be an “electronic signature” and clearly and unequivocally specifies the writing to which that electronic signature applies, nothing contained herein or in any communication in connection herewith shall satisfy the requirements for a writing, nor constitute a contract, an amendment of existing agreements, or electronic signature, as those terms are defined in or contemplated by the Electronic Signatures In Global and National Commerce Act, 15 U.S.C. Section 7001 et seq, or the Uniform Electronic Transaction Act as adopted by any state or any other statute governing electronic transactions.

For your information:
The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the b of race, color, religion, national origin, sex, marital status, age (provided that the applicant has the capability to enter into a binding contract); because all or part of the applicant's income derives from any public assistance program; or .because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this creditor is the Federal Trade Commission, 633 Indiana Avenue, N.W., Washington, D.C. 20580

For the purpose of obtaining credit the applicant(s) hereby warrants and affirms that each of the answers given to the foregoing questions is true and correct. The applicant(s) expressly authorizes the creditor to make inquiries of others concerning the forego- ing information and to provide information arising out of applicant's transactions with creditor. Any person or entity named herein is expressly authorized to furnish the creditor with information in connection with this application.