BUSINESS CONTACT INFORMATION Title: Company name: Phone: Fax: E-mail: Registered company address: City: State: ZIP Code: Date business commenced: Sole proprietorship: Partnership: Corporation: Other: BUSINESS AND CREDIT INFORMATION Primary business address: City: State: ZIP Code: How long at current address? Telephone: Fax: E-mail: Bank name: Bank address: Phone: City: State: ZIP Code: Type of account Savings Checking Other Account number BUSINESS/TRADE REFERENCES Company name: Address: City: State: ZIP Code: Phone: Fax: E-mail: Type of account: Company name: Address: City: State: ZIP Code: Phone: Fax: E-mail: Type of account: Company name: Address: City: State: ZIP Code: Phone: Fax: E-mail: Type of account: AGREEMENT All invoices are to be paid 30 days from the date of the invoice. Any past due accounts will have an 18%annual finance charge. Claims arising from invoices must be made within seven working days. By submitting this application, you authorize OCONEE SAND & GRAVEL, Inc. to make inquiries into the banking and business/trade references that you have supplied. To ensure the security of your information, we ask that you type the code (displayed below) in the text box. This code is an image that cannot be read by web robots and prevents them from gaining access to your information.