Credit Application and Purchase Agreement For valuable consideration recieved and in order to induce Nejad Rugs, Inc. to extend credit to:  Legal Company Name(hereinafter referred to as Company):  Company:___________________________________________________________________   Legal Company Address:  Street:________________________________________ City:_____________________________  State:_____  Zip:___________  Tel(1):_____________________ Tel(2):_____________________ Fax:__________________________ E-Mail:______________________________________ Legal Company Status: Inc.        Partnership        Ownership          Other   If Other, please explain:___________________________________________________________ Bank Information: Bank Name:_________________________________  Account#:____________________________ City:_________________________ State:____ Zip:__________ Tel:_______________________ Are you listed with Dunn & Bradstreet?:   YES:      NO:      If yes, Rating:_________________ Trade References: Provide 3 references with which you have conducted business in the past 2 years: (1):________________________________ Address:_________________________________  City:______________________________ State:_____ Zip:__________ Tel:__________________ (2):________________________________ Address:_________________________________  City:______________________________ State:_____ Zip:__________ Tel:__________________ (3):________________________________ Address:_________________________________  City:______________________________ State:_____ Zip:__________ Tel:__________________ Principals of the Company: (1):_________________________ Pos:__________________________ Tel:__________________ (2):_________________________ Pos:__________________________ Tel:__________________ Undersigned for: Name:_________________________  Title:_______________________  Date:_______________ Business Name: Company:_____________________________________________ Tel:_____________________  Special Requirements or Considerations (Please attach explanation on additional page)   Send Form To Corporate Office: Nejad Rugs  1 N. Main St  Doylestown, PA 18901     OR FAX Form To Corporate Office:  FAX: 215-348-9056    ( TEL: 800.245.7847 )