Please select the suppliers you wish to add to bill through your Red Tray account from the
list below. Upon your initial order, remember to identify yourself as a Red Tray member to
ensure your new accounts have been set up to bill through Red Tray. Please Note: Some
suppliers may request additional credit information and/or give you special instructions for
establishing a new account.

If you already have existing accounts with the suppliers you selected, please enter your
current account numbers in the corresponding Current Account Number field.

I, the undersigned, do hereby authorize Red Tray to set up/transfer my accounts for the
selected suppliers, effective immediately:

Authorized Signature