Date:_________________

Company Name:___________________________________________
Address:_____________________________________________
City:_________________ State:____________ Zip:___________
Phone:___________________  Fax:_______________________
Type of Ownership:________________________________ Year Established_________

We would like to establish credit with your company.  
We authorize you to contact the following references:

Bank Information
Name of Bank:_______________________________________
Address:____________________________________________
City:_________________ State:______________ Zip:________
Account #:___________________________________________

Please note that Tree of Life and Burt's Bees do not disclose credit information.  
Please only list companies that you have terms with - we do not accept C.O.D or 
prepaid accounts when processing credit applications.  To make process go faster 
please provide fax numbers and complete addresses.

Trade References

1.   Company Name:____________________________________Acct.#:____________
      Address:____________________________________________________________
      City:____________________State:_______________ Zip:____________________
      Phone:____________________________ Fax:______________________________

2.   Company Name:____________________________________Acct.#:____________
      Address:____________________________________________________________
      City:____________________State:_______________ Zip:____________________
      Phone:____________________________ Fax:______________________________

3.   Company Name:____________________________________Acct.#:____________
      Address:____________________________________________________________
      City:____________________State:_______________ Zip:____________________
      Phone:____________________________ Fax:______________________________

4.   Company Name:____________________________________Acct.#:____________
      Address:____________________________________________________________
      City:____________________State:_______________ Zip:____________________
      Phone:____________________________ Fax:______________________________

VERMONT CUSTOMERS: If applicable, a copy of Vermont Resale and Exempt Organization 
Certificate of Exemption should be returned with this application.

Authorized Signature:____________________________________________________

Title:_________________________________________________________________________