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Baton Security Products11521 Salinaz Drive, Garden Grove, CA 92843Telephone: (877) 228 6699 Fax: ... - page 4 / 4

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Baton Security Products

Fax: (866) 228 6699

11521 Salinaz Drive, Garden Grove, CA 92843

Tel : (877) 228 6699  

BANK CREDIT INQUIRY

 ***Exhibit A***

Dear Sirs,

Please fill out this form so that we may submit this information to the bank for credit rating.

Company Name:

Street Address :

Business Tel:

/

Fax:

     /

Bank Name:

Contact:

Address :

Tel:

Fax:

Account # 1:

Account Type :

Account # 2:

Account Type :

I/We hereby authorize our bank

to release our bank

account information on the account number(s) listed above to Baton Security

Products for credit rating purposes only.

Signature

Print Name

Title

Date

(For Bank use only)

Dear Bank Officer:

The above captioned company has listed your bank as a credit reference.  Please help us make a fair decision

by completing this form and returning it by fax to (866) 228 6699 or mail at your earliest convenience.  We appreciate

your assistance in providing the following information.  The information will be held strictly confidential. Thank you.

Account # 1

Account # 2

Account Number:

Account type

Date account opened

Average Balance

Current Balance

Frequency of return checks

Rating

comment

Prepared by

Signature

Print name

Title

date

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