Application

Magazine Exchange Inc. Account Application

Name of Business______________________________________________Date______________________

Store Front______if so are you a Hobby___Variety___Mass Mkt___Store? Are you a Show Dealer_____

Mailing Address__________________________Shipping Address_________________________________

_______________________________________ ______________________________________

City_____________________State___Zip_____ City____________________State___Zip______

Business Phone______________________Fax Number__________________Home Phone_____________

Please circle days open: S M T W T F S Hours Open__________________________________________

# Of Years in Business_____Time at present address_____________________E-Mail_________________

P.O. Order required?_________Name of party/parties who will place orders_________________________

Is the business a:Sole Proprietorship_____Partnership_____Corporation_____

Sole Proprietor's Name___________________________Address____________________City__________

SS#_________________Fed Tax ID#_______________Home Phone______________State___Zip______

Partner 1_______________________________________Address__________________City___________

SS#_________________Fed Tax ID#_______________Home Phone______________State___Zip______

Partner 2_______________________________________Address__________________City___________

SS#_________________Fed Tax ID#_______________Home Phone______________State___Zip______

Partner 3_______________________________________Address__________________City___________

SS#_________________Fed Tax ID#_______________Home Phone______________State___Zip______

If more than 3 partners - please list on back of this sheet and check here ( ).

Corporate Name______________________________Year Inc.___________State of Inc.________________

Please list each of the following officers with home address and phone:

President________________________________________________________________________________

Vice President____________________________________________________________________________

Treasurer________________________________________________________________________________

Secretary________________________________________________________________________________

Bank Name_____________________Branch Name___________________Address_____________________

Name of contact at Bank___________Phone #__________City______________State___Zip_____________

Account Number___________________Do you have a borrowing relationship?_______________________

Credit References - PLEASE DO NOT LIST THE MAJOR TRADING CARD MANUFACTURERS, THEY DO NOT GIVE CREDIT
REFERENCES AND WE WILL JUST HAVE TO RE-CONTACT YOU FOR OTHER CREDIT REFERENCES!

Name of FirmContact NamePhone #Acct#Address_______

(1)__________________________________________________________________________________________

(2)__________________________________________________________________________________________

(3)__________________________________________________________________________________________

(4)__________________________________________________________________________________________

Name of applicant(Print)__________________________________Title___________________________________

When you sign and return this application to us your are authorizing us to receive and exchange credit information with your references. Applicant agrees
to be liable for all company and/or individual charges and/or payment for all shipments. Should your bank charge us a Fee on any of your checks you will
be liable to repay us same. All cost of Collection including reasonable attorney's fees and costs shall be paid for by the applicant.

_____________________________________________________________________________________________

Signature of Applicant (s)Date

We require 2 photos(1 inside, 1 outside) to verify physical location (OR) a current utility bill and telephone yellow page ad.

(AND)

Photocopies of one or more of the following:

1. Business License 2. Federal Tax ID Number 3. State Resale Tax Certificate

Magazine Exchange Account #______________ Account Status_______________ Date__________By___________