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Our Plants
Locations
Carpinteria
Fillmore
Linden
Mecca
Piru
Rush
San Gabriel
About Us
Careers
Forms
Contact
Application for Credit
Company Name (or individual)
(Required)
Email
(Required)
Phone
(Required)
Fax
Address
(Required)
Street Address
Address Line 2
City
State
Zip Code
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Niue
Norfolk Island
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Panama
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Portugal
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Serbia
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Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
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South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Billing Address (if different)
Street Address
Address Line 2
City
State
Zip Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
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)
MM slash DD slash YYYY
List Name(s) of Officer(s), Partner(s), Owner(s)
(Required)
Position
Name
Home Address / City/ State / Zip
Add
Remove
Use the “+” button at end of each row to add another row
Years in Business This Company
(Required)
Less than 1 Year
1 Year
2 Years
3 Years
4 Years
More than 5 Years
Years at this Location
(Required)
Less than 1 Year
1 Year
2 Years
3 Years
4 Years
More than 5 Years
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
Add
Remove
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
Add
Remove
Use the “+” button at end of each row to add another row
Are purchase orders required?
(Required)
Yes
No
TAXABLE – IF NON TAXABLE – RESALE CARD MUST ACCOMPANY APPLICATION
(Required)
Yes
No
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?
No
Yes
If Yes, Date
MM slash DD slash YYYY
Has a company you have owned ever filed bankruptcy?
No
Yes
If Yes, Date
MM slash DD slash YYYY
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
MM slash DD slash YYYY
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
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