Credit Application	Page 1 of 2

S	____________________________	B	______________________________

h	CORPORATE NAME	i	NAME

i	____________________________	l	______________________________

p	DBA - TRADE NAME	l	ADDRESS

____________________________	______________________________

T	ADDRESS	T	CITY, STATE, ZIP

o	____________________________	o	______________________________

CITY, STATE, ZIP	PHONE NO. (AREA CODE)

____________________________

PHONE NO. (AREA CODE)

Business Type (circle)	Names of Officers/Partners:

- Corporation ________________________________________________________

- Proprietorship ________________________________________________________

- Partnership	________________________________________________________

Federal Tax I.D. #:	_________________________________________________________

2000 Sales Volume: $	_________________________________________________________

2001 Sales Volume: $	_________________________________________________________

DUNS #	_________________________________________________________

Length of time in business: _________________________________________________________

Name of other business(es) owned:	______________________________________________

Is property address listed above owned or leased?	Owned | Leased

Name and address of landlord(s):

NAME	___________________________	NAME	__________________________

ADDRESS	___________________________	ADDRESS	__________________________

___________________________	__________________________

PHONE #	( ) _____________________	PHONE #	( ) ___________________

1. Has the undersigned person ever filed for personal bankruptcy protection?	Yes | No

2. Has the undersigned person ever been an officer of a corporation that has filed for bankruptcy protection?	Yes | No

3. Has the undersigned person ever purchased products from IRMA Corporation in the past? Yes | No

-If yes, under what name? (company or individual) _______________________________________

CREDIT TERMS REQUESTED: NET 30

BOOKKEEPER’S NAME __________________________________	PHONE # ___________________

AUTHORIZED BUYER(S): _________________________________	PHONE # ___________________

___________________________________	PHONE # ___________________

BANKING REFERENCE

BANK NAME _______________________________	ACCOUNT #	___________________________

BANK OFFICER _____________________________	TYPE OF ACCOUNT _________________________

ADDRESS _________________________________	AVRG MONTHLY BALANCE (US $)______________

ADDRESS _________________________________	PHONE	( )__________________________

CITY/STATE/ZIP ____________________________	FAX	( )__________________________

Please initial here to consent bank to answer

all questions regarding the handling of accounts:	___________

Credit Application	Page 2 of 2

TRADE REFERENCES: (relative to the industry in which your company conducts business)

NAME	___________________________	NAME	__________________________

ADDRESS	___________________________	ADDRESS	__________________________

___________________________	__________________________

PHONE #	( ) ____________________	PHONE #	( ) ___________________

FAX #	( ) ____________________	FAX #	( ) ___________________

CREDIT LIMIT _____________TERMS _______	CREDIT LIMIT _____________TERMS ______

NAME	___________________________	NAME	__________________________

ADDRESS	___________________________	ADDRESS	__________________________

___________________________	__________________________

PHONE #	( ) ____________________	PHONE #	( ) ___________________

FAX #	( ) ____________________	FAX #	( ) ___________________

CREDIT LIMIT _____________TERMS _______	CREDIT LIMIT _____________TERMS ______

Please attach a separate sheet if you need more room or would like to list more than 4 trade references.

WE HEREBY MAKE APPLICATION FOR CREDIT TO IRMA Corporation. IF CREDIT IS GRANTED, WE AGREE TO PAY ALL BILLS WITHIN THE STATED TERMS OF SALE. WE AGREE TO PAY A SERVICE CHARGE OF $30.00 FOR ANY CHECKS RETURNED FROM OUR BANK UNPAID FOR ANY REASON. ADDITIONALLY, WE UNDERSTAND THAT A SERVICE CHARGE MAY BE ASSESSED ON ANY UNPAID BALANCE EQUAL TO THE MAXIMUM RATE ALLOWED BY LAW. SHOULD LEGAL ACTION BE TAKEN TO SECURE PAYMENT FOR MERCHANDISE RECEIVED, THE UNDERSIGNED WILL BE LIABLE FOR ALL EXPENSES, INCLUDING REASONABLE ATTORNEY’S FEES INCURRED BY IRMA Corporation, WE AGREE THAT ANY DISPUTE ARRISING FROM THIS AGREEMENT OR GOODS OR MERCHANDISE ORDERED OR DELIVERED PURSUANT HERETO WILL BE GOVERNED AND SETTLED UNDER APPLICABLE PRINCIPALS OF NEW YORK LAW, UNDER JURISTICTION OF NEW YORK COURTS AND THAT VENUE IN ANY SUCH ACTION SHALL BE THE COUNTY OF NEW YORK.

IN CONSIDERATION OF GOODS SOLD AND DELIVERED TO THE ABOVE, THE UNDERSIGNED HEREBY UNCONDITIONALLY GUARANTEES TO IRMA Corporation, THE PROMPT PAYMENT FOR SAID GOODS AND ALL SUMS STATED ON INVOICE. THIS SHALL CONSTITUTE A CONTINUING AND ONGOING GUARANTEE FOR ALL GOODS SOLD AND DELIVERED FROM THE ABOVE MENTIONED DATE TO THE DATE OF THIS GUARANTEE AND HENCEFORTH.

THIS INFORMATION IS GIVEN IN CONFIDENCE FOR THE SOLE PURPOSE OF ESTABLISHING CREDIT WITH IRMA Corporation. AUTHORIZATION IS HEREBY GIVEN TO MAKE INQUIRY OF ALL TRADE AND FINANCIAL SOURCES WHICH ARE DEEMED NECESSARY BY IRMA Corporation TO PROPERLY EVALUATE THIS APPLICATION.

SIGNATURE: ___________________________________________ DATE: ______________________

PRINTED NAME: ________________________________________ TITLE: ______________________

PAGE 2 of 2 – Final Page

International Resource Management & Acquisitions Corporation: 216 Tingley Lane Edison, NJ 08820

Accounting and Cash Management Systems: Old Chelsea Station, Box 1239 New York, NY 10113

T: 908.769.IRMA / 4762 ( F: 908.769.7170 ( Web: www.irmacorp.com ( Email: Welcome@irmacorp.com

Certificate of Analysis

IRMA

2002-02-21

ee

IRMA