Mountings & Findings

1 I (WE) SUBMIT THE FOLLOWING INFORMATION IN APPLYING FOR AN OPEN ACCOUNT:Business Name:Address: City: State: Zip: E-mail: Telephone: Fax:Shipping Address: City: State: Zip: E-mail: Telephone: Fax:A/P Contact: Website:Business Type: q Manufacturer q Wholesaler q Retailer q Retail Mfg. q OtherCOMPLETE APPLICABLE SECTION: q Individual* q Partnership* q Corporation*Subsidiary of:Do you operate under any other names? q Yes q No If yes, state company name(s) and address(es) (Add additional sheets if necessary)Name:Address: City: State: Zip: Owners , Officers , Directors , or Partners names, addresses and Social security numbers (add additional sheets if necessary):1.

2 Address: City: State: Zip: 2. Address: City: State: Zip: Year Incorporated: State of Incorporation: Years in Business:Owners Social Security Numbers: 1 2:Note: If corporation is less than three (3) years old, individual personal guaranty form must be completed by an officer of the applying company. *Personal Guarantee may be required from other corporations and entities as APPLICATION ( Page 1 of 3 )Please complete and sign this credit application to be considered for open account status. If the information supplied is incomplete or found to be incorrect, this may delay processing of the application and could affect prompt delivery of products or services. Please Initial (Page 1 of 3)300 Chastain Center Blvd, Suite 315 Kennesaw, GA 30144770-499-8932 Fax: & FindingsTrade (1) Acct. #: Fax #Address: Phone #City: State: Zip:Trade (2) Acct.

3 #: Fax #Address: Phone #City: State: Zip:Trade (3) Acct. #: Fax #Address: Phone #City: State: Zip:Bank Name:Checking Account Number: Savings Account Number:Address: City: State: Zip: E-mail: Telephone: Fax:Bank Officers (Contacts):TRADE REFERENCES (Include Casting/Mounting Suppliers)CREDIT APPLICATION ( Page 2 of 3 ) (Page 2 of 3)If representations made by the buyer in this credit application are subsequently found incorrect or incomplete, the right is reserved to reject the application and to negate any obligation to proceed with any merchandise.

4 (1) Buyer recognizes Seller s terms as NET 30 DAYS and acknowledges and authorizes a service charge of per month (18% annual) on any and all past due amounts. (2) Seller shall have the right to (a) declare the entire amount due and payable if default occurs In making any payments when due, (b) in the event of default, customer agrees to pay attorney and/or collection agency fees not exceeding 40%, (c) to change the terms of the account from time to time (consistent with applicable Georgia law) to be effective not less than 30 days after given notice, (d) to limit the amount of credit extended under this account or terminate the account, upon giving written notice thereof; but it may avail itself of the terms of this agreement until full payment of the entire balance with the accrued Finance Charge to date has been received, (3) said Finance Charge will continue to accrue until the balance is paid in full, (4) In submitting this application for credit, I authorize you to investigate my credit CERTIFY THAT THE ABOVE INFORMATION ON ALL 3 PAGES IS CORRECT AND I AGREE TO THE ABOVE SHOWN,Signature of Owner/Partner or Officer Date Authorized Signature other than above Date300 Chastain Center Blvd, Suite 315 Kennesaw, GA 30144770-499-8932 Fax.

5 & FindingsCREDIT APPLICATION ( Page 3 of 3 ) (Page 3 of 3)INDIVIDUAL PERSONAL GUARANTYIf corporation is less than three (3) years old, or you are requested to do so by Centennial, the following guaranty must be completed by an officer of the company. It must be signed for all single proprietorships and partnerships by a :I, , residing atfor and in consideration of your extending credit at my request to:NAME OF COMPANYA ddress: City: State: Zip: hereinafter referred as the Company , of which I am (TITLE) hereby personally guaranty to Dana Augustine, Inc. d/b/a Centennial Mountings and Findings , and affiliated companies or assigns herein referred to as the creditor, the payment of any obligation of the Company and hereby agree to bind myself to pay the Creditor on demand any sum which may become due to the Creditor by the Company whenever the Company shall fail to pay the same.

6 It is understood that this guaranty shall be continuing and irrevocable and indemnify for such indebtedness of the Company, I do hereby waive notice, non-payment and notice thereof and consent to any modification or renewal of the credit agreement hereby guaranteed. SignatureXNotary Stamp /Witness / Signature AddressPrint Name City State Zip Social Security Number300 Chastain Center Blvd, Suite 315 Kennesaw, GA 30144770-499-8932 Fax: & FindingsRESALE CERTIFICATE300 Chastain Center Blvd, Suite 315 Kennesaw, GA 30144770-499-8932 Fax: & FindingsIf purchases are for resale and you do not wish to be charged sales or use tax, please insert your sales tax permit number with your signature and address on this resale certificate.

7 All accounts will be charged sales or use tax unless Resale Certificate is complete and correct. If your state requires a specific form or document, please attach same with proper Name:I HEREBY CERTIFY that I hold valid sellers permit numberissued pursuant to the Sales and Use Tax Law of the state of ;that I am engaged in the business of selling ;that the tangible personal property described herein which I shall purchase will be resold by me in the form of tangible personal property; provided, however that in the event any such property is used for any other purpose other than retention, demonstration or display while holding it for sale in the regular course of business, it is understood that I am required by the sales and use tax law to report and pay for the tax, measured by the purchase price of such of property purchased:Date PurchaserBy and TitleSignature TitlePrint NameAddressCity State Zip*Attach your state s form as PERSONAL GUARANTY300 Chastain Center Blvd, Suite 315 Kennesaw, GA 30144770-499-8932 Fax.

8 & FindingsIf corporation is less than three (3) years old, or you are requested to do so by Centennial, the following guaranty must be completed by an officer of the company. It must be signed for all single proprietorships and partnerships by a : I, ,residing atfor and in consideration of your extending credit at my request to:(NAME OF COMPANY)Address:City: State: Zip:hereinafter referred as the Company , of which I am (TITLE)hereby personally guaranty to Centennial Jewelers Inc. d/b/a Centennial Casting Company, and affiliated companies or assigns herein referred to as the creditor, the payment of any obligation of the Company and hereby agree to bind myself to pay the Creditor on demand any sum which may become due to the Creditor by the Company whenever the Company shall fail to pay the same.

9 It is understood that this guaranty shall be continuing and irrevocable and indemnify for such indebtedness of the Company, I do hereby waive notice, non-payment and notice thereof and consent to any modification or renewal of the credit agreement hereby guaranteed. SignatureXNotary Stamp /Witness / Signature AddressPrint Name City State Zip Social Security NumberRegistered Legal Name:Registered Trade Name (if any):Registered Legal Address: City: State: Zip: E-mail: Telephone: Fax:Website: Federal Tax Number: (Social Security Number if individual)Company President or Owner:USA PATRIOT ACT AML COMPLIANCE CONFIRMATION300 Chastain Center Blvd, Suite 315 Kennesaw, GA 30144770-499-8932 Fax.

10 & FindingsI confirm that the above information is true and Name TitleSignature DateTYPE OF ORGANIZATION: (Please Circle One)q Corporation q LLC q LLP q Sole Proprietor q OtherPlease SELECT and CHECK ONE of the following:Our Company has a written anti-money laundering program of compliance and supervisory procedures that complies with the Interim Final Rule under the USA Patriot Act and Bank Security Company is a foreign customer /vendor and complies with our local jurisdiction s laws for antimoney laundering Company is not a dealer in precious metals, stones and jewels as defined in the Interim Final Rule under the USA Patriot Act or is exempt from Company is a retail establishment with no obligation to comply with the USA Patriot Act because we do not purchase more than $50,000 from : (Please explain on separate page)