Credit Application Form

Credit Application Form

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Company Information

Address
Mailing Address (if different)
Do you require Purchase Orders?
Tax Exempt?
Click or drag a file to this area to upload.
Type of Business
If less than 3 years, list former business info
Have Principals ever been involved in bankruptcy?

Ownership/Management

President, Vice President etc

Trade References

Bank Reference

Agreement / Terms and Conditions

The applicant certifies that the information contained herein is true and correct, and further authorizes Nortex Foundation Designs, Inc. (“Seller”) to make any inquiries necessary for verification of the information provided. The undersigned Applicant hereby indemnifies the Seller, and its agents, from any liability resulting from their credit inquiry.

The Applicant further agrees that if credit is extended, all credit and sales made shall be subject to the following terms and conditions:

  1. Applicant shall pay the full amount of the invoice(s) when due, which is defined to be the 10th of the month, following the month of the purchase, unless otherwise specified on the invoice.
  2. If payment in full is not received by the due date, the applicant shall owe, in addition to the invoice amount, costs of collection, including but not limited to, attorney fees, court costs, and collection fees that Seller may incur in recovering the amount that is owed.
  3. Applicant agrees that venue and jurisdiction for any such action shall properly be at Southlake, Texas, in Tarrant County, the principal place of business of Seller.
I have read and agree to the terms above.