Bank Information:
Bank Name for Company Checking Account:___________________________________________________
Bank Address:__________________________________________________________________________
City:____________________________________________State:________Zip Code:__________________
Bank Phone: (      )_________________________    Bank Fax:(      )________________________________
Bank Account Number:___________________________________________________________________

PLEASE SEND ALL THE FOLLOWING DOCUMENTS:

Photocopy of your resale license
Photocopy of your tax identification certificate
Photocopy of a voided check with your business name
Photograph of your store front

Thank you for taking the time to fill out this application. We look forward to doing business with
you. If you have any questions, please feel free to call us.




Signature of Owner




Signature of Partner


Date


Please mail or fax the completed application and required documents to the following address:

Avalon Advanced Products, Inc.
P.O. Box 800
Sugar Land, TX 77487


Phone: 832-595-8565
Fax: 832-595-2235