PayPal Billing information

Name on Paypal Account ------------------------------------

Confirmed Address -------------------------------------------------

City, State, Zip -----------------------------------------

Telephone -------------------- Fax ---------------------

How long have you had your Paypal account?-------------------

Shipping information (if different from billing)

Business Name --------------------------------------

Ship To Name --------------------------------------

Address ----------------------------------------------

City, State, Zip --------------------------------------

Telephone -------------------------------------------

Fax --------------------------------------------------

Dear SNEDCO,

This is to advise you that you are authorized to drop ship orders to my customers. I plan to pay for my orders using Paypal and I fully understand that SNEDCO may reserve the right to limit the quantity and/or amount of any drop shipment to an unconfirmed address as they deem necessary. I also understand if I pay by Paypal eCheck, SNEDCO may delay shipping until after the funds have cleared through Paypal. I will inform SNEDCO immediately if use of my Paypal account is no longer active or has been closed for any reason.