Account Setup Application Form (Page 2 of 2) in pdf

100-13551 Verdun Place, Richmond, BC, Canada, V6V 1W5

Tel: 1-604-273-3003 Fax: 1-604-273-3023

Website:

CONFIDENTIAL CREDIT APPLICATION & AUTHORIZATION

Business References

1. Company Name ________________________________________is our

□Vender

□Local Service Provider

Term: ____________________Credit Limit: ________________Annually Volume $_________________

Contact: ___________________________ e-mail: ______________________________________________

2. Company Name ________________________________________is our

□Vender

□Local Service Provider

Term: ____________________Credit Limit: _______________Annually Volume $_________________

Contact: ___________________________ e-mail: ______________________________________________

3. Company Name ________________________________________is our

□Vender

□Local Service Provider

Term: ____________________Credit Limit: _________________Annually Volume $_________________

Contact: ___________________________ e-mail: ______________________________________________

Bank Information and Credit Information Release Authorization

Bank Name: ____________________________________________________________________________________

Bank Address: __________________________________________________________________________________

Bank Account # _________________________________________________________________________________

Account Manager Ms. / Mr.: ______________________________e-mail: __________________________________

Fax: +______ (

) ____________________

Tel: +______ (

) _____________________

This is to authorize the bank to release our bank credit information to zCover Inc. and its agent for the

purpose of setting up business account and terms and credit application.

Authorized Sign: _________________________________________________

Print Name: _____________________________________________________

Title ___________________________________________________________

Date: The _____________day of __________________, 2009

(Corp. Seal)

Step #1: Please fill and sign this Account Setup Form and Credit Application Authorization Form,

Step #2: Please fax to 1-604-273-3023 or email PDF format to

Step #3: Please MAIL original signed form to ZCOVER INC. 100-13551 Verdun Place, Richmond, British Columbia,

Canada, V6V 1W5 Attn. Account Setup

2-2 pages

zCover Account Setup Application Form Version 9.1

Account Setup Application Form Page 2