

(Please list at least two companies you have an active credit account with)
| Company Name | Contact Person | Phone |
|---|---|---|
| Account # | |
|---|---|
I/We hereby authorize **[FAST PAINTING]** to obtain information regarding our credit standing from our bank and trade references for the purpose of establishing a credit account. I/We confirm that the information provided in this form is true and accurate. I/We agree to abide by the payment terms and conditions set forth by **[FAST PAINTING]**.