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TIME WITH COMPANY: OFFICE TELEPHONE NUMBER 3. BANKING & 01 HLR CREDIT CARD RELATIONSHIPS PRIMARY BANK Chase Bank OTHER BANK: Palm Beach Bank AMERICAN EXPRESS CORPORATE CARD? OYES ONO VISA BUSINESS OR CORPORATE CARD? PYFS nNo MASTERCARD BUSINESS OR CORPORATE CARD? OYES ONO BUSINESS CHECKING ACCOUNT SI

53701.1111, Telephone (608)8294100 or 1-8004214920. Holder shall be liable for all charges, fees and other costs that accrue on each account. 4. Credit Line. Holder will from time to time be informed of the amount of the approved credit line under each account established for Holder, and Holder covenant

S OLOAN OSAVINGS ACCT °CREDIT CARD PRIMARY BANK B S H CKING ACCOUNT # Palm Beach Bank nCHECKING ACCOUNT (LOAN f13AVINGS ACCOUNT nCRFDIT CARD AMERICAN EXPRESS ACCOUNT NUMBER: DATE OPENED: BALANCE: CORPORATE CARD? nYFS nNo VISA BUSINESS OR CORPOBATF CARD? PITS ONO MASTERCARD BUSINESS OR CORPORATE CAR

111, Telephone-(608) 829- 6100 or 1-800-221-5920. Holder shall be liable for all charges, fees and other costs that accrue on each account. I ' 4. Credit Line. Holder will from time to lime be inforined of the amount of the approved credit line under each account established for Holder, and :Holder covenan

TIME WITH COMPANY: OFFICE TELEPHONE NUMBER 3. BANKING & OTHER CREDIT CARD RELATIONSHIPS PRIMARY BANK Chase Bank OTHER BANK: Palm Beach Bank AMERICAN EXPRESS CORPORATE CARD? OYES ONO VISA BUSINESS OR CORPORATE CARD? DYES ONO MASTERCARD BUSINESS OR CORPORATE CARD? DYES ONO IMISING ACCOUNT # OTHER ACC

dison, WI 53701.1111, Telephone IM or 1-800;221-5920. Holder shall be liable for all charges, fees and other costs that accrue on each account. 4. Credit Line. Holder will from time to time be informed of the amount of the approved credit line under each account established for Holder, and Holder covenant

CODE: YEARS AT ADDRESS OWNERSHIP STATUS: TIOWN FIRENT MOTHER: POSITION WITH COMPANY: 3 PRIMARY BANK Chase Bank OTHER BANK: Palm Beach Bank AMERICAN EXPRESS CORPORATE CARD? nYES nNo VISA BUSINESS OR CORPORATE CARD? nYES nNo MASTERCARD BUSINESS OR CORPORATE CARD? OYES ONO MONTHLY MORTGAGE/RENTAL PAYM

701-1111, Telephone (608) 829- 6100 or 1-800-221-5920. Holder shall be liable for at charges, lees and other CiastS that accrue on each account_ 4. Credit Line. Holder will from time to time be informed of the amount 01 the approved credit line under each account estabkshed for Holder, and Holder covenants