Application for Credit

Credit Application

"*" indicates required fields

Step 1 of 3

Secure Form

Complete and sign all sections applicable to your organization.
If your organization is sales tax exempt, attach a copy of your exempt certificate and fill Certificate of Resale/Tax Exempt section.
Our terms are NET 30, FIRM (an annual finance rate of 20% will be charged after 30 days)

General Information

Legal Name of Organization*

Parent Company (If Applicable)

Organization Type*

Corporation

Sole Proprietorship

Partnership

LLC

Public / Government

Federal Tax ID

Business Type*

Year Established*

Four Digit Year

Number of Locations*

At Present Location Since*

Four Digit Year

Contact Information

Contact Information*

First Last

Email*

Phone*

Location & Addresses

Business Street Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Different Mailing Address?*

Yes

If your mailing address differs from your business address, select "Yes" otherwise select "No"

Business Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Company Specifics

Officers/Principals

Officer or Principal's Full Name*

Officer or Principal's Title*

Officer or Principal's Full Name

Officer or Principal's Title

Officer or Principal's Full Name

Officer or Principal's Title

Bank Information

This is a secure and encrypted form.

Bank Name*

Bank Account Number*

Bank Contact Full Name*

Bank Phone Number*

Bank Fax Number*

Trade References

Trade Reference Organization*

Trade Reference Account Number*

Trade Reference Contact Name*

Trade Reference Fax Number*

Trade Reference Organization*

Trade Reference Account Number*

Trade Reference Contact Name*

Trade Reference Fax Number*

Trade Reference Organization*

Trade Reference Account Number*

Trade Reference Contact Name*

Trade Reference Fax Number*

Trade Reference Organization

Trade Reference Account Number

Trade Reference Contact Name

Trade Reference Fax Number

I hereby authorize the above listed reference to release any information relating to the above listed accounts. The undersigned also certifies that the information provided above is complete and accurate. The undersigned further agrees that all sales by Night Owl National Stoneworks, Inc. (NONS), are subject to NONS’ terms of sales and in the event of litigation relating to any business transaction between the customer and NONS. It shall be governed by and interpreted pursuant to the laws and decisions of the state of North Carolina. NONS shall be entitled to its reasonable costs and expenses incurred, including attorney’s fees and the costs of litigation in enforcing the terms of any sale or collecting upon any resulting judgment. Any law suit filed by or against NONS shall be filed in the circuit court of Mecklenburg County, North Carolina or in the Federal District Court For The Western District of North Carolina.

Electronic Signatures. Any signature (including any electronic symbol or process attached to, or associated with, a contract or other record and adopted by a Person with the intent to sign, authenticate or accept such contract or record) hereto or to any other certificate, agreement or document related to this transaction, and any contract formation or record-keeping through electronic means shall have the same legal validity and enforceability as a manually executed signature or use of a paper-based record-keeping system to the fullest extent permitted by applicable law, including the Federal Electronic Signatures in Global and National Commerce Act, the New York State Electronic Signatures and Records Act, or any similar state law based on the Uniform Electronic Transactions Act, and the parties hereby waive any objection to the contrary.

Officer's Name For Release*

First Last

Officer's Title For Release*

Officer's Signature For Release*

Date Signed*

Name

This field is for validation purposes and should be left unchanged.

Application for Credit

Credit Application

General Information

Contact Information

Location & Addresses

Company Specifics

Officers/Principals

Bank Information

Trade References

About Us

Products

Sub-Contractor Application

Credit Application