SCHOOL SPECIALTY, INC.                                                                                                                     CREDIT APPLICATION

                                                                                                                       In order to establish an account with School Specialty and

            Return via fax to: (419) 589-1475                                                                          To acknowledge terms and conditions of sale, the undersigned

                                                                                                                       makes the following statements:

                                                                                                             Credit Amount Requested: $

General Information

Applicant (Complete Business or School name)                                                                                                           Phone #



Street Address                                                                                                                                         Fax #



City                                                                                                         State                                     Zip Code



Mailing Address                                                City                                          State                                     Zip Code





Style of Organization

                           Incorporated under the laws of the state of:                                                                             Type of Business

       ? Corporation                                                                                   ? Partnership            ? Proprietor

                                                                                                                                         Tax Exempt #

How long in Business                                                                            Tax will be charged unless

                                                   ? Taxable                  ? Non-taxable

                                                                                                exemption certificate is provided

Owner, Partners, or Corporate Officers

Name & Title                                                                                                                             Social Security #



Name & Title                                                                                                                             Social Security #



Name & Title                                                                                                                             Social Security #





CREDIT REFERENCES

Name                                                                   Account #                                                         Phone #



Address                                                                City                                            State             Zip Code



Name                                                                   Account #                                                         Phone #



Address                                                                City                                            State             Zip Code



Name                                                                   Account #                                                         Phone #



Address                                                                City                                            State             Zip Code



BANK REFERENCES

Bank Name                                                              Account #                                                         Contact



Address                                                                                                                                  Phone #



Bank Name                                                              Account #                                                         Contact



Address                                                                                                                                  Phone #



                                                                  CREDIT PURCHASE AGREEMENT

Applicant authorizes School Specialty to obtain necessary credit information at any time from any source and agrees to pay for purchases according to the credit terms on

our invoice or, if none appear, according to the terms of Net 30. Applicant warrants that all information appearing on this form is true and correct as of the date below

and agrees to notify vendor in writing within 30 days of any change in style of business organization, financial condition or controlling ownership. Applicant agrees to

pay a service charge of 1-1/2% per month or the maximum allowed by law, on any past due balances and if the account is placed for collection, agrees to pay all costs of

collection, including reasonable attorney fees.

Applicant



Signature                                                      Title                                                              Date





                                                                        PERSONAL GUARANTY

In consideration of the extension of credit to the applicant named hereon, the undersigned, as individuals and not as corporate officers, jointly, severally and

unconditionally guaranties and promises to pay all amounts now owing or which may hereinafter become owing by the applicant. This is a continuing guaranty and

obligations arising hereunder shall not be affected by any change in terms of indebtedness, the extension of credit beyond amounts specified herein, a change in the term

or time for payment, a change in the form of indebtedness or the acceptance of security or collateral. Vendor shall not be required to exhaust any remedies against

applicant prior to exercising rights granted hereby.



Individual                                                                         Seal   Individual                                                                           Seal



Individual                                                                         Seal   Individual                                                                           Seal



State Of

                                                                                          Sworn to and subscribed before me this___________Day of______________19______

County Of                                                                                 Notary Public

       Attach a copy of your latest financial statement and return it with this completed form to School Specialty, Inc.

 FAX: (419) 589-1475                                                                                                  10/11/01