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Beacon Roofing Supply, Inc.

Page 1 of 4* Application must be completed in full and signed by Corporate Officers, Partners, or Sole ProprietorC. commercial TRADE REFERENCES NameCity and StateTelephone #Account BUSINESS INFORMATIONP artnershipPartnerDriver s Lic.#SS#Address:OwnRentHome #PartnerDriver s Lic.#SS#Address:OwnRentHome # s Lic.#SS#Address:OwnRentHome #V-P MemberDriver s Lic.#SS#Address:OwnRentHome #OwnerDriver s Lic.#SS#Address:OwnRentHome #ProprietorshipCorporationLLPLLCSec/Memb erDriver s Lic.#SS#Treas/MemberDriver s Lic.#SS#Sales ID: A. APPLICANT INFORMATIONB ranch #:Full Legal Business Name:DBA Name:Mailing Address:Phone:Contractor / Business LLC#:Street Address:City:State:Zip:City:State:Zip:Ce ll: Fax:E-Mail Address:Date Business Started:Type of Business:Website Address:State of Incorporation:Tax Pay ID No.

Page 1 of 4 * Application must be completed in full and signed by Corporate Officers, Partners, or Sole Proprietor C. COMMERCIAL TRADE REFERENCES

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