Credit Application

Applicant’s Name (Exact Legal Business Name): Applicant’s “Doing Business As” (DBA) Name: Customer Number:

Street Address/City/State:

Billing Address/City/State:

Phone: Email: Fax:

Mobile:
Main Line of Business: Annual Sales: # of Employees: Business Established How Long?

Federal Tax ID Number or SSN (if Self Employed): Sole Proprietorship Sales Tax Exemption Certificate?
Partnership (mark correct one) Yes No
Corp/LLC (If yes, please submit certificate.)
Subsidiary of: Business License Number(s): Workers’ Compensation Classification:

Name of Officer/Principal: Accounts Payable Contact Name & Phone #:

Trade Reference Contact Person Phone # Account # (if any)

IMPORTANT NOTICE - ORAL AGREEMENTS OR ORAL COMMITMENTS TO EXTEND CREDIT, OR FORBEAR FROM ENFORCING
REPAYMENT OF A DEBT ARE NOT ENFORCEABLE.

Terms of Sale
TrueBlue, Inc.’s terms of sale are net 7 days from date of invoice, unless otherwise agreed to by written contract. All invoices not paid in a timely manner may cause
interruption of credit extension unless arrangements are made with the corporate credit department. A finance charge of 1.5% per month, or 18% per annum may
be assessed on all delinquent invoices but not to at any time exceed the highest legal rate of interest legally allowed. Applicant agrees to pay any collection costs
incurred to collect the account balance, including reasonable attorney’s fees.

Applicant’s Statement
Applicant authorizes TrueBlue, Inc. to verify or check any of the information given, check credit references, obtain one or more credit reports, and share
applicant’s credit information between its affiliates in connection with this credit application or in connection with any periodic reviews of credit which may be
extended to Applicant. Applicant gives TrueBlue, Inc. permission to report to credit reporting agencies and others the results of such investigations and TrueBlue,
Inc.’s experience with Applicant’s account.

The undersigned has read and understands this credit application and agrees to the terms and conditions. The undersigned also certifies that the information
provided in all sections of this credit application is true and correct. The person executing this agreement has the authority to bind the customer and is authorized
by the customer to enter into the credit application terms and conditions.

Applicant’s Signature and Title Date

The Federal Equal Credit Opportunity Act (ECOA) prohibits creditors from discriminating against credit applicants on the basis of race, color, religion,
national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant’s
income derives from any public assistance program; or because the applicant has, in good faith, exercised any right under the Consumer Credit Protection
Act. The federal agency that administers compliance with law concerning this creditor is the Federal Trade Commission, Division of Credit Practices, 600
Pennsylvania Avenue, NW, Washington, DC 20580.