• Purchase Order Number Required:
  YesNo
• State Tax Exempt Status (Note: We will charge you tax unless we have a current copy ofyour tax certificates attached or on file):
  Tax ExemptNot Tax Exempt
  
Please check the type of business that applies to you:
Landscape ContractorGarden CenterLandscape Architect / DesignerPropogationGovernmentNurseryGeneral ContractorProperty MaintenanceOther

• Accounts Payable Information:

Attach a copy of your business card here
Attach a copy of your State Driver's License


• THIS IS NOT A CREDIT APPLICATION

  TO ESTABLISH CREDIT PLEASE FILL OUT THE CREDIT APPLICATION

• ---

• Check Writing Information

  In order for us to accept checks from any company, we must ask for the following information. This information will
  be held in confidence by Manor View Farm, Inc. and will NOT be used for marketing purposes or distributed in any
  other way. This information can be used to protect Manor View Farm, Inc. as well as your company by having
  authorized check signers on file with us. Thank you for your cooperation.

• CHECK AUTHORIZATION INFORMATION:

• Please include copy of Driver's License with this application.

• Date of Birth:
  
Persons authorized to make purchases:



Wholesale Terms and Conditions

1. This form is not an application for credit. All new customers will be cash or credit card account until credit history has been established. For your convenience we do accept VISA, MASTERCARD, DISCOVER and AMERICAN EXPRESS.
2. Maryland sales tax of 6% will be added to all orders unless we have your CURRENT State sales tax Exemption certificate on file.
3. Accounts presenting checks that are returned due to insufficient funds will be charged $ 25.00 per incident.
4. Manor View Farm reserves the right to close a wholesale account under circumstances; for example, returned checks, nonpayment of invoices, grossly overdue payment, etc.

By signing this form I hereby agree to all terms and policies of Manor View Farm and agree to accept responsibility
for all purchases made on this account and to pay any and all collections costs, including attorney and bank fees,
should this account ever go into collections.

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