CREDIT APPLICATION
Submission of this form, whether typewritten, handwritten or by computer completion of entries constitutes affirmance of the terms and a signature f
CERTIFICATIONS REGARDING LOBBYING; DEBARMENT
certification included in the regulations before completing this form. Signature of this form provides for compliance with certification requirements
GUIDELINES FOR CERTIFICATION OF TAXPAYER
Exempt payees described above should file substitute Form W-9 to avoid possible erroneous backup withholding. FILE THIS FORM. WITH THE PAYOR