highest quality machinery and service in the industry

Business Purposes
The undersigned represents that all information provided with this Application is true and correct and hereby authorizes Plastics Machinery Group, Inc. to obtain from third parties information Lessor deems necessary to arrive at a decision regarding this Application. Applicant certifies to Plastics Machinery Group, Inc. that it is applying for credit for business purposes, and not for personal, family use.

Credit Information Release
The undersigned individual(s), as principal(s) of and/or guarantor(s) for the applicant, recognizing that his or her individual credit history may be a factor in the evaluation of the credit of the applicant, hereby consents to and authorizes the above named business credit provider and any assignee, lender or funding service that may be utilized to obtain and use a consumer credit report on the undersigned, now and from time to time, as may be needed in the credit evaluation and review process. I (we) specifically consent that this information may be transmitted via the internet and waive any right or claim I (we) would otherwise have under Fair Credit Reporting Act in the absence of this continuing consent. Fax, electronic submission, or copy of this authorization valid as original.