Credit Application – Norman's Nursery

Company Name (or individual)(Required)

Email(Required)

Phone(Required)

Fax

Address(Required)

Street Address Address Line 2 City State Zip Code Country

Billing Address (if different)

Street Address Address Line 2 City State Zip Code Country

This location is

Main Office

Branch Office

Name & Address of Parent Company (if applicable)

Business operates as(Required)

Corporation/LLC

Partnership

Sole Proprietor

Contractors License #(Required)

License type(Required)

License expiration date(Required)

List Name(s) of Officer(s), Partner(s), Owner(s)(Required)

Position

Name

Home Address / City/ State / Zip

Use the “+” button at end of each row to add another row

Years in Business This Company(Required)

Years at this Location(Required)

Do you Own or Lease the Property/Building(Required)

Own

Lease

Describe your product, service, business(Required)

Anticipated monthly purchases from Norman's Nursery

Bank References(Required)

Bank Name

Account #

City

Phone

Use the “+” button at end of each row to add another row

MATERIAL/NURSERY SUPPLIER REFERENCES (at least 3)(Required)

Reference Name

Address / City / State / Zip

Phone

Fax/Email

Use the “+” button at end of each row to add another row

Are purchase orders required?(Required)

Yes

TAXABLE – IF NON TAXABLE – RESALE CARD MUST ACCOMPANY APPLICATION(Required)

Yes

Resale Card Copy

Max. file size: 50 MB.

Payables Contact Name(Required)

Payables Contact Phone(Required)

Payables Contact Email(Required)

PLEASE ADVISE US OF ANY SPECIAL INSTRUCTIONS NEEDED ON YOUR ACCOUNT

Have you ever filed personal bankruptcy?

Yes

If Yes, Date

Has a company you have owned ever filed bankruptcy?

Yes

If Yes, Date

Name of company that filed bankruptcy

Other company names that you now or once may have operated under

ACCOUNT AGREEMENT AND TERMS OF SALE The undersigned hereby applies to Norman’s Nursery Inc. for Credit. It is understood and agreed that the undersigend specifically consents to Norman’s Nursery Inc. investigating the applicant’s credit history and may utilize outside credit reporting services to obtain information on the applicants and companies listed. If credit is extended, I understand all invoices are due and payable at Norman’s Nursery Inc. 30 days from the date of purchase and are past due on the 31st day following purchase. Prices charged are with expec tation of payment being made within standard terms. Past due invoices may be subject to late fee charge of 1 1/2% of the invoice total for each month thereafter as an adjustment in the price. Customer agrees it would be impractical to fix actual damages and this charge as finance charges is a fair and equitable approximation of the actual additional expense incurred by Norman’s Nursery Inc. It is further agreed this will not affect Norman’s Nursery’s right to demand payment and take action to collect past due amounts. It is agreed that the proper and axclusive venue and jurisdiction to resolve any disputes or claims associated with this agreement will be in the County of Los Angeles, State of California. Upon a change in principals or the legal identity of the company, applicant will give written notice 15 days prior to the change to the credit department of Norman’s Nursery Inc. Should suit be instituted to collect any debts of the undersigned, the undersigned agrees to pay all actual costs of collection and attorney’s fees and interests on the past due amount at the highest rate legally available.

Date

Title

Print Name

SIGNATURE OF PRINCIPAL OR OFFICER

***** PERSONAL GUARANTY ***** In consideration of credit granted by Norman’s Nursery Inc., the undersigned personally guarantees any and all charges and/or money due Norman’s Nursery Inc. This sum to include any and all attorneys fees and collection costs. In the event payment is demanded by Norman’s Nursery Inc., the undersigned agrees to make payment within 30 days.

Print Name

SIGNATURE OF PRINCIPAL OR OFFICER

Application for Credit

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