Application for Credit

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

GENERAL INFORMATION

Legal Name of Organization
As Appears on Articles of Incorporation and Tax Forms
Legal Name of Organization Required
Legal Name of Organization Required
Parent Company
If Applicable
Field is required!
Field is required!
Organization Type
Select One
Organization Type Required
Organization Type Required
Federal Tax Id
Example Formats: 01-1234567, 011234567
Federal Tax Id Required
Federal Tax Id Required
Business Type
Basic Description
Business Type Required
Business Type Required
Year Established
Four Digit Year From 1900-2099
Four Digit Year From 1900-2099 Required
Four Digit Year From 1900-2099 Required
Number of Locations
How Many Locations Does Your Company Have?
Number of Locations Required
Number of Locations Required
At Present Location Since
Four Digit Year From 1900-2099
At Present Location Since Required (Four Digit Year)
At Present Location Since Required (Four Digit Year)

Location & Addresses

Business Address

Business Street Address
Business Street Address Required
Business Street Address Required
City
Business Street Address Required
Business Street Address Required
State
  • - select a state -
  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
- select a state -
Business State Required
Business State Required
Zip Code
Zip Code of Five Digits or Zip+4 Required
Zip Code of Five Digits or Zip+4 Required
Is The Mailing Address Different Than Mailing Address?
If there is a different mailing address, choose yes.
Choose if you need to add a mailing address, YES to add, No to keep the business address as mailing address.
Choose if you need to add a mailing address, YES to add, No to keep the business address as mailing address.
Mailing Street Address
Mailing Street Address Required
Mailing Street Address Required
Mailing City
Mailing City Required
Mailing City Required
Mailing State
  • - select a state -
  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
- select a state -
Mailing State Required
Mailing State Required
Mailing Zip
Zip Code of Five Digits or Zip+4 Required
Zip Code of Five Digits or Zip+4 Required

Specifics

Officers/Principals

Officer or Principal's Full Name
Officer or Principal's Full Name Required
Officer or Principal's Full Name Required
Officer or Principal's Title
Officer or Principal's Title Required
Officer or Principal's Title Required
Officer or Principal's Full Name
Field is required!
Field is required!
Officer or Principal's Title
Officer or Principal's Title Required
Officer or Principal's Title Required
Officer or Principal's Name
Field is required!
Field is required!
Officer or Principal's Title
Field is required!
Field is required!

Bank Information

Bank Name
Bank Name Required
Bank Name Required
Bank Account Number
Bank Account Number Required
Bank Account Number Required
Bank Contact Full Name
Bank Contact Full Name Required
Bank Contact Full Name Required
Bank Phone Number
Bank Phone Number Required
Bank Phone Number Required
Bank Fax Number
Bank Fax Number Required
Bank Fax Number Required

Trade References

A minimum of three trade references are required.
Trade Reference Organization
Trade Reference Organization Required
Trade Reference Organization Required
Trade Reference Account Number
Trade Reference Account Number
Trade Reference Account Number
Trade Reference Contact Name
Trade Reference Contact Name
Trade Reference Contact Name
Trade Reference Fax Number
Trade Reference Fax Number Required
Trade Reference Fax Number Required
Trade Reference Organization
Trade Reference Organization Required
Trade Reference Organization Required
Trade Reference Account Number
Trade Reference Account Number
Trade Reference Account Number
Trade Reference Contact Name
Trade Reference Contact Name
Trade Reference Contact Name
Trade Reference Fax Number
Trade Reference Fax Number Required
Trade Reference Fax Number Required
Trade Reference Organization
Trade Reference Organization Required
Trade Reference Organization Required
Trade Reference Account Number
Trade Reference Account Number
Trade Reference Account Number
Trade Reference Contact Name
Trade Reference Contact Name
Trade Reference Contact Name
Trade Reference Fax Number
Trade Reference Fax Number Required
Trade Reference Fax Number Required
Trade Reference Organization
Trade Reference Organization Required
Trade Reference Organization Required
Trade Reference Account Number
Trade Reference Account Number Required
Trade Reference Account Number Required
Trade Reference Contact Name
Trade Reference Contact Name
Trade Reference Contact Name
Trade Reference Fax Number
Trade Reference Fax Number Required
Trade Reference Fax Number Required
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
Officer's Name for Release Required
Officer's Name for Release Required
Officer's Signature for Release
Officer's Signature for Release Required
Officer's Signature for Release Required
Officer's Title for Release
Officer's Title for Release
Officer's Title for Release Required
Officer's Title for Release Required
Date Release Signed
Select a date
Date Release Signed Required
Date Release Signed Required
Tax Exempt
Is your company a reseller and tax exempt?
Field is required!
Field is required!
Tax Exempt State
What state have you been issued a tax exempt certificate or registration?
  • - select a state -
  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
- select a state -
Tax Exempt State Required
Tax Exempt State Required
Registration / Certificate Number
Registration / Certificate Number Required
Registration / Certificate Number Required
Tax Exempt State
Additional tax exempt certificate in another state.
  • - select a state -
  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
- select a state -
Field is required!
Field is required!
Registration / Certificate Number
Field is required!
Field is required!
Tax Exempt State
Additional tax exempt certificate in another state.
  • - select a state -
  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
- select a state -
Field is required!
Field is required!
Registration / Certificate Number
Field is required!
Field is required!
Tax Exempt State
Additional tax exempt certificate in another state.
  • - select a state -
  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
- select a state -
Field is required!
Field is required!
Registration / Certificate Number
Field is required!
Field is required!

Upload Certificates of Resale

Upload Resale Certificates
Allowed File Types: JPG PNG GIF PDF
Upload your documents...
Field is required!
Field is required!

Personal Guarantee

Privately Owned Only
Is Applicant Company Privately Owned?
Field is required!
Field is required!
Having a financial interest in applicant, and benefiting from the transactions contemplated by this agreement, hereby personally guarantees the payment by applicant to the company of all amounts, due and owing now, and from time to time hereafter. Guarantor expressly waives notice from the company of its acceptance and reliance on this personal guaranty, notice of sales made to applicant, and notice of default by applicant. The obligations of guarantor hereunder shall not be affected, excused, modified or impaired upon the happening from time to time of any event. No set-off, counterclaim or reduction of any obligation, or any defense of any kind or nature which the guarantor has or may have against applicant of the company shall be available hereunder to the guarantor against the company in the event of a default by applicant on its obligations to the company. The company may proceed directly to enforce its rights hereunder and shall have the right to proceed first against guarantor, without proceeding with, or exhausting any other remedies it may have. Guarantor agrees to pay all costs, expenses, and fees, including reasonable attorneys’ fees, which may be incurred by the company in enforcing this personal guaranty or protecting its rights following any default on the part of guarantor. Guarantor agrees that an interest charge of two percent (2%) per month, or the highest rate permitted by law, whichever is less shall be assessed on any amount due and owing to the company by guarantor under this personal guaranty until collected. This personal guaranty shall be binding upon guarantor, the guarantor’s heirs, successors, assigns, representatives and survivors, and shall inure to the benefit of the company, its successors and assigns. This personal guaranty shall be governed by and interpreted with the laws and decisions of the state of North Carolina and venue shall solely reside in North Carolina. If more than one, the obligations of the undersigned shall be joint and several.

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.
Guarantor's Full Legal Name
Guarantor's Full Legal Name Required
Guarantor's Full Legal Name Required
Guarantor's Driver's License
Guarantor's Driver's License Required
Guarantor's Driver's License Required
Guarantor's Driver's License Issuing State
  • - select a state -
  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
- select a state -
Guarantor's Driver's License Issuing State Required
Guarantor's Driver's License Issuing State Required
Guarantors Driver's License Expiration Date
Select a date
Guarantors Driver's License Expiration Date Required
Guarantors Driver's License Expiration Date Required
Guarantor Street Address
Guarantor Street Address Required
Guarantor Street Address Required
Guarantor Street Unit
Field is required!
Field is required!
Guarantor City
Guarantor City Required
Guarantor City Required
Guarantor State
  • - select a state -
  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
- select a state -
Guarantor State Required
Guarantor State Required
Guarantor Zip Code
Formats Accepted: 12345 or 12345-6789 or 12345 1234
Guarantor Zip Code
Guarantor Zip Code
Field is required!
Field is required!
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