The information supplied in this confidential financing application, company profile form, and all forms and documents submitted (collectively the Application) to Dade Strategic Syndication, its subsidiaries or its Assignee (collectively Factor) in connection herewith is true and correct to the best of my/our knowledge and belief. In compliance with the Fair Credit Reporting Act, I/ we authorize Dade Strategic Syndication, and/or its participating Factors to investigate my/our business and personal credit through its various agencies for the purpose of evaluation and verification. If this application is printed and faxed, hand signatures are required, but if this form is submitted securely, or typed name(s) in the fields provided serve as original signature(s). Incorporate U.S. Public Law 106-229, ‘‘Electronic Signatures in Global and National Commerce Act’’ or such other applicable law conforming to the UNCITRAL Model Law on Electronic Signatures (2001) and ELECTRONIC COMMERCE AGREEMENT (ECE/TRADE/257, Geneva, May 2000) adopted by the United Nations Centre for Trade Facilitation and Electronic Business (UN/CEFACT).  EDT documents shall be subject to European Community Directive No. 95/46/EEC, as applicable.  Either Party may request hard copy of any document that has been previously transmitted by electronic means provided however, that any such request shall in no manner delay the parties from performing their respective obligations and duties under EDT instruments.


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