To apply for credit, please take a moment to fill-out the form below.

General Information * Indicates Required Fields Name of Company or Individual* Years in Business*   Annual Sales* $ Mailing Address* Street Address (if different from mailing)

City* State/Province* Select State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AB BC MB NB NF NS ON PE PQ SK NT YT ZIP*

Telephone Numbers*  (Two contact numbers required) Area Phone No. Ext. Type Office Home Pager Cell Fax Toll-Free Office Home Pager Cell Fax Toll-Free

Billing Point of Contact* E-mail Address*

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Ownership Information Business Type:*  Corporation**  Partnership  Individual  LLC If corporation**, enter Federal ID No. State Incorporated**  (if corporation) Dun & Bradstreet Number Principal #1*  (All information required) Name Job Title Home Address City State/Province Select State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AB BC MB NB NF NS ON PE PQ SK NT YT ZIP Social Security Number Telephone Number Area Phone No. Ext. Type Office Home Pager Cell Fax Toll-Free Principal #2*  (All information required) Name Job Title Home Address City State/Province Select State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AB BC MB NB NF NS ON PE PQ SK NT YT ZIP Social Security Number Telephone Number Area Phone No. Ext. Type Office Home Pager Cell Fax Toll-Free * Q1: Were any of the Principals in business before?  Yes       No       If "Yes," give business name and location: If business was discontinued, give reason: * Q2: Have you ever declared bankruptcy? Business:   Yes       No       Personal:   Yes       No       * Q3: Do you have any pending judgments against your firm?  Yes       No       * Q4: Are any of your assets pledged as collateral?  Yes       No       If "Yes," please indicate which assets and to whom:

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Finance Information*  (All information required) Person authorized to place order Job Title Bank Name City State/Province Select State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AB BC MB NB NF NS ON PE PQ SK NT YT ZIP Bank Officer Telephone Number Area Phone No. Ext. Type Office Home Pager Cell Fax Toll-Free Credit line requested: $

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Credit References*  (All information required) Reference #1* Business Name Contact Person Address City State/Province Select State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AB BC MB NB NF NS ON PE PQ SK NT YT ZIP Telephone Numbers Area Phone No. Ext. Type Office Home Pager Cell Fax Toll-Free Office Home Pager Cell Fax Toll-Free Reference #2* Business Name Contact Person Address City State/Province Select State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AB BC MB NB NF NS ON PE PQ SK NT YT ZIP Telephone Numbers Area Phone No. Ext. Type Office Home Pager Cell Fax Toll-Free Office Home Pager Cell Fax Toll-Free Reference #3* Business Name Contact Person Address City State/Province Select State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AB BC MB NB NF NS ON PE PQ SK NT YT ZIP Telephone Numbers Area Phone No. Ext. Type Office Home Pager Cell Fax Toll-Free Office Home Pager Cell Fax Toll-Free Reference #4* Business Name Contact Person Address City State/Province Select State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AB BC MB NB NF NS ON PE PQ SK NT YT ZIP Telephone Numbers Area Phone No. Ext. Type Office Home Pager Cell Fax Toll-Free Office Home Pager Cell Fax Toll-Free

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Terms:*  (All information required) Terms are net 30 days. Interest will accrue at the rate of eighteen percent (18%) on any unpaid balance after 30 days. Should this account be placed with an attorney or collection agaency for collection, I hereby agree to pay all reasonable cost of collection, including attorney fees in the amount of twenty percent (20%). I agree to pay a twenty-five dollar ($25.00) returned check charge on all returned checks. If an account reaches 45+ days past due, orders are subject to credit hold until the account is made current. Advance notice will be given to Extra Mile Transportatation, LLC of any change in the business structure. Without such notice, the original principals to whom credit was first extended shall remain liable. Notice is to be given by certified or registered letter and acknowledged by return receipt. Credit policies are subject to change at the discretion of Extra Mile Transportation, LLC management. Upon acceptance of this application and the issuance of an open line of credit, the APPLICANT agrees to abide by the credit policies of Extra Mile Transportation, LLC. I hereby agree that any legal proceedings undertaken to enforce the terms of this agreement or any other dispute involving the extension of credit will be resolved pursuant to the laws of New York, and that jurisdiction and venue will be proper in Buffalo, New York, for any such action. I certify that all information on this form is correct, and that I am authorized to enter into this contractual relationship on behalf of this company. Permission is hereby granted to access/obtain all needed credit reports on my personal and business credit. I fully understand the credit terms, and have read all pages of this document before signing. Up | Down | Top | Bottom *Q5: Do you understand and agree with the above statement?   (Please indicate your agreement by checking "Yes" below.)  Yes* Title:*

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Personal Guarantee:*  (All information required) In consideration for the extension of credit by Extra Mile Transportation, LLC as requested by me, I hereby agree to personally guarantee any and all indebtedness incurred with Extra Mile Transportation, LLC, and to obide by the terms of this credit application and any subsequent contracts between the parties. I further agree to pay all past due amounts that exceed the terms hereof, and to pay any additional amounts due hereunder, including interest and attorney fees. Up | Down | Top | Bottom *Q6: Do you understand and agree with the above statement?   (Please indicate your agreement by checking "Yes" below.)  Yes* Full Name:*  City* State/Province* Select State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AB BC MB NB NF NS ON PE PQ SK NT YT ZIP* Social Security No.*