CREDIT APPLICATION

    APPLICANT INFORMATION

    RESPONSIBLE PARTIES

    BUSINESS INFORMATION

    IndividualPartnershipCorporation

    REFERENCES

    CheckingSavingsOther

    VENDER REFERENCES

    I authorize Manna Foods Inc. to verify the information provided on this form as to my credit history.

    Please Note: Completed Application May be Faxed to: (510) 654-0015 Attn: Credit Department

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