P.O. Box 62 Winchester, TN 37398 FAX 931-967-6549 Phone 931-967-4415
We welcome your interest in doing business with us! All information submitted will be held in strictest confidence and used solely to determine your line of credit.
Firm name:_________________________________
Telephone: ________________________FAX:_____________________________
Address: ________________________City: _______________State: ____ ZIP:________
Legal Status (mark one): Proprietorship_____ Partnership_______ Corporation_______
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TRADE REFERENCES:
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Bank Name & Branch:___________________________________________________ Address:_____________________________________________________________
Contact Name at Bank:_____________________ Amount of Credit Desired: $_______
Our Terms are Net 30 Days. All stock F.O.B. Winchester, TN. We give no warranty, expressed or implied,, as to description, quality, productiveness or any other matter of any other nursery stock, seeds, bulbs or plants we sell. Please pay by invoice. Statements mailed only if accounts become delinquent. 2% per month service charge, which equals 24% per year, added on overdue accounts. In the event proceeds are not paid promptly, purchaser will be responsible for all cost of collections, including reasonable attorneys' fees. This is a Tennessee contract. All past due accounts will be collected as to the Laws of the State of Tennessee and in this jurisdiction.
Corporation officers herewith acknowledge and assume personal responsibility for debts incurred in the name of the firm:
Individual:_________________________________ Individual:_________________________________
Signature Title Date Signature Title Date
I HAVE READ, UNDERSTAND, AND ACCEPT THE ABOVE TERMS, HAVE PROVIDED TRUE INFORMATION TO THE BEST OF MY KNOWLEDGE, AND HAVE RETAINED A COPY OF THIS AGREEMENT FOR MY RECORDS. I FURTHER AUTHORIZE THE ABOVE CITED REFERENCES TO SUPPLY PERTINENT INFORMATION AS MAY BE REQUIRED TO DETERMINE OUR CREDIT CAPABILITIES.
Applicant: ____________________________________________________ Date:__________________