8077 San Fernando Rd., Sun Valley CA 91352 - Tel: (818) 252-6426  Fax: (818) 252-7086

 e-mail: tonyshoes@tonyshoesinc.com

 CREDIT REFERENCES REQUESTED

To:                                                                   From:

Fax:                                                                  Pages:

Phone:                                                  Date:

Company Name: _________________________________________________________

Address: ______________________________________________________

Owner: _____________________________ Years in Business: __________________

Phone: _____________________________ Fax: _______________________________

Your business is very important to us.  Please provide us with credit references consistent with the lingerie/garment/shoe industry to assist us in establishing your account as “NET TERMS”.  Please list as many credit references as possible in the space below; including names, phone/fax numbers and number of years your company has been doing business with these companies.  Please sign application at the bottom.

Name                          Address:                                 Phone/Fax                               Years:  

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Signature: ______________________________  Date:  _______________________________