ACADEMY PRODUCTIONS, INC.

Application Guarantee
Advance Check Approval Privileges

APPLICANTS CLAIMING TAX EXEMPT STATUS MUST FILL IN E-590 CERTIFICATE OF SALE


COMPANY (OR NAME) ________________________________________________________________
                                  ________________________________________________________________
 
                                                                   Street No.                                                      Street
                                             _________________________________________________________________________
                                                                       City                                                               State                                  Zip
PHONE NUMBER ______________________________ NO. OF YEARS IN BUSINESS _______________________
CONTACT ____________________________________ TITLE _________________________________________
FEDERAL TAX ID NO. OR SS# ___________________________________________________________________
DRIVERS LICENSE NO. __________________________ DATE OF BIRTH ________________________________

NAMES OF AUTHORIZED CHECK SIGNERS

____________________________ _____________________________ _____________________________

____________________________ _____________________________ _____________________________

NAME OF BANK ______________________________________________________________________________

MAILING ADDRESS ___________________________________________________________________________
                                                           Street No.                                                        Street

                                      ____________________________________________________________________________
                                                               City                                                               State                               Zip

APPROXIMATE DATE BANK ACCOUNT WAS OPENED ______________________________________________
 
                                                                                                                                         Month                            Year

I hereby authorize you to furnish Academy       ________________________________________________________
Productions Inc.  with the following infor-          
AUTHORIZED SIGNATURE FOR BANK INFORMATION
mation about my account so that I may be          ________________________________________________________
granted advance check approval priveleges.       
BANK ACCOUNT NUMBER      
                                                                

BELOW TO BE COMPLETED BY BANK

The above person has applied for advance              TYPE OF ACCOUNT        BUSINESS _______ PERSONAL _______
check approval priveleges at Academy                    JOINT ACCOUNT                        YES _______                 NO _______
Productions, Inc.  Please expedite this                      NO. OF NSF CHECKS IN THE LAST 90 DAYS ________________
application for their convenience.

IF YOU CAN NOT RATE, PLEASE SUPPLY THE RANGE OF THEIR AVERAGE BALANCE ____________________

___________________________________        _____________________
(COMPLETED BY)  SIGNATURE                                           DATE