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350QUALITY GOLD, INC. DETACHABLE PAGEACCOUNT APPLICATION/CREDIT AGREEMENTRemit to: Quality Gold Credit Dept., P.O. Box 18490, Fairfield, OH 45018-0490Fax: (513) 642-2449 Email: newaccounts@qgold.com Date Applicant%u2019s Signature Name TitleIf your application is accepted, you agree to pay any amount due to Quality Gold and unpaid within THIRTY (30) DAYS from the date of billing (in which caseno finance charge will accrue). THIRTY (30) DAYS after the date of accrual of any charges on your account, a FINANCE CHARGE based on a monthly periodicrate of 2% (resulting in a corresponding ANNUAL PERCENTAGE RATE of 24%) will be applied to compute the \the \the \statement and subtracting any payments or credits to your account received during billing cycle. NO FINANCE CHARGE is assessed for a billing cycle in whichthere is no \nt and thereby avoid any further FINANCE CHARGE.You agree if the company does not pay its balance in a timely fashion, the Applicant will be personally liable for and guarantee the payment of the company'soutstanding balance.You also agree that if you do not pay your balance in a timely fashion, and Quality Gold must incur legal fees to recover any amounts which you owe toQuality Gold, these fees will be charged to your account and you will be liable for payment of them.By making this application and receiving trade credit the company/applicant consents to, affirms and ratifies the electronic signature below and agrees to dobusiness electronically. The undersigned further consents to the exclusive jurisdiction and venue of Butler County, Ohio or the Southern District of Ohio of anydispute that may arise.Name: Title: Company: Business Address: City, State & Zip: Mailing Address (If different): City, State & Zip: Federal ID Number: Trade References (excluding watch companies)Name: Address: City, State & Zip: Account #: Fax #: Name: Address: City, State & Zip: Account #: Fax #: Name: Address: City, State & Zip: Account #: Fax #: Date Business Established: Business Telephone Number: Business Fax Number: Business E-mail Address: Alternate Phone: Website: Jewelers Board of Trade ID Number: Type of Business Organizational Structure Retail Corporation Wholesale Partnership Dept. Store Sole Proprietorship Other: Explain Type of merchandise sold What type of account are you applying for? C.O.D. Account Net 30 Term AccountQuality Gold accepts Visa, MasterCard, Discover & American ExpressBy signing this Application, you agree to the terms contained herein and permit Quality Gold to investigate your credit history and verify the information you have provided. Application must be completed in full to be processed.Please provide a COPY of your STATE issued Retail Sales Tax Permit.