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Thank you for your interest in establishing a credit relationship with Xiameter. In an effort to provide you with the best
service possible, we ask that you print, fully complete and sign the attached application and return it to us by fax or mail.

Note:
To purchase XIAMETER® products using credit card only, complete only sections 1, 2, 3, 4 and 11 of the credit
application.


                            For the Americas                            For Korea:
                         (except South America):
                                                                         Xiameter
                                  Xiameter                      Customer Financial Services
                          Customer Financial Services                16F Trade Tower
                            2200 W. Salzburg Road                   Kangnam-gu, Seoul
                                 PO Box 994                        159-1 Samsung-dong
                            Midland MI 48686-0994                         135-731
                              Fax: 989 496 6299                        South Korea
                                                                    Fax: 82-2-551 6800


                                 For Europe:                      For South America:
                                   Xiameter                    Customer Financial Services
                          Customer Financial Services       Rod.Campinas Monte Mor, Km 8,6
                            Meriden Business Park,          13186-903 - Hotolândia, SP - Brasil
                                 Copse Drive,                    Fax: (5519) 3887-9798
                                    Allesley
                                   Coventry
                                   CV5 9RG
                                 Great Britain
                              Fax: 01676 528104


                         For Asia (except Korea):
                                   Xiameter
                          Customer Financial Services
                                 S&T Building
                            448 Rong Le Road East
                           Songjiang Industrial Zone
                               Shanghai 201613
                             Fax: 86 21 67742403




Created: 3-Jan-02             Find the value of X at www.xiameter.com              Page 1 of 4
Revised: 23-Oct-08              XIAMETER® is a Registered Trademark of Dow Corning Corporation.
                                                        Credit Application
                     Name
1. Legal Name
                     DBA or Trade Style Name (if different)



                     Address                                                   City                          State        Zip Code               Country



                     E-Mail Address for Billing




2. Legal Form of       Sole Proprietorship                    Partnership-General                     Partnership-Limited

   Business            LLC                                    Corporation-Publicly Held               Corporation-Privately Held

                     China Only:
                       Privately-Owned Enterprise              State-Owned Enterprise           Foreign-Sino Joint Venture     Wholly-Foreign Owned Enterprise

                     Duns Number or VAT Number of Parent Company
3. Other Corporate
   Info
                     Company Website Address                                   Years in Business             Number of Employees



                     Type of Business



                     Major Selling Product Items




4. Credit
   Arrangement         Open Credit                    Credit Card Only                      Letter of Credit Only
   Requested
                     Name                                                                   Title
5. Financial (A/P)
   Contact
   Information       Telephone Number                         Fax Number                            Email Address
                          (       )                               (        )
                     Name
6. Banking
   Information
                     Address                                                   City                          State        Zip Code               Country
   (Lead Bank)
                     Bank Contact Name                                         Title



                     Telephone Number                         Fax Number                            Email Address
                          (       )                               (        )
                     Bank ID Number (ABA # or Local Bank ID)



                     Account Number                                            Swift Code




Created: 3-Jan-02       Find the value of X at www.xiameter.com              Page 2 of 4
Revised: 23-Oct-08        XIAMETER® is a Registered Trademark of Dow Corning Corporation.
                         Supplier Name
7. Trade References
                         Address                                                   City                             State       Zip Code                     Country


                         Account Number with Supplier



                         Credit Contact Name                                       Title



                         Telephone Number                       Fax Number                              Email Address
                              (       )                              (       )
                         Supplier Name



                         Address                                                   City                             State       Zip Code                     Country



                         Account Number with Supplier



                         Credit Contact Name                                       Title



                         Telephone Number                       Fax Number                              Email Address
                              (       )                              (       )
                         Supplier Name



                         Address                                                   City                             State       Zip Code                     Country



                         Account Number with Supplier



                         Credit Contact Name                                       Title



                         Telephone Number                       Fax Number                              Email Address
                              (       )                              (       )
8. Financial             Please Include: Income Statement, Balance Sheet, and Statement of Cash Flow:
   Statements
   for previous two      Q: Are Statements externally audited: Circle one: Y or N
   fiscal periods plus
                         Q: Are A/R or Inventory pledged as security? Circle one: Y or N
   current interim

                         Anticipated Purchases per month:                                  In Specified Currency:
9. Future
   Relationship
                         I am authorized on behalf of the company listed on this application to apply for credit and agree to the Xiameter terms and conditions. I hereby
10. Signature            authorize Dow Corning to conduct credit inquiries as may be deemed necessary to confirm our credit worthiness.
    Authorization        I certify that the information in this Credit Application is accurate and correct as of the date of this Credit Application and shall further inform
                         Dow Corning of any changes in the information disclosed in this Credit Application. I understand that Dow Corning reserves the right to share
                         payment performance information with others.
11. End Use              Dow Corning products and related technologies are subject to export control regulations. The company listed on
    Agreement for US     this credit application agrees that it will abide by applicable export control laws and regulations for any products
                         purchased from Dow Corning. In addition, the company listed in this credit application agrees that it will not, in
    Export Control       the absence of government authorization, as required, export, re-export, or otherwise transfer Dow Corning
    Regulations          products to or for:
                           1. use in nuclear related activities or facilities, chemical/biological weapons or rocket systems and unmanned
                         air vehicles;
                           2. any person, entity, organization or other party identified on a restricted end-user list; and

Created: 3-Jan-02           Find the value of X at www.xiameter.com              Page 3 of 4
Revised: 23-Oct-08            XIAMETER® is a Registered Trademark of Dow Corning Corporation.
                           3. any sanctioned or embargoed country



12. Signature Required
                         Printed Name: ____________________________________________Title:________________________________________


                         Signature:_________________________________________________ Date:____/_____/_____
                         Customer Service Professional Name:
13. For Internal Use
    Only                 Customer Credit Professional Name:




Created: 3-Jan-02           Find the value of X at www.xiameter.com              Page 4 of 4
Revised: 23-Oct-08            XIAMETER® is a Registered Trademark of Dow Corning Corporation.