Film/TV Financing

Applicant Name*

First Middle Last

Applicant Adress*

Street Address Address Line 2 City State ZIP Code

Applicant Phone Number*

Applicant E-Mail Address*

Enter Email Confirm Email

Billing or Authorized Contact Person

Billing or A/P Name*

First Middle Last

Billing Address*

Street Address Address Line 2 City State ZIP Code

Billing Phone Number*

Billing E-Mail Address*

Enter Email Confirm Email

About Your Business

Type of Business*

Corporation
Partnership
Limited Partnership
Proprietorship

What is your primary business focus?*

i.e. Landscaping, etc.

What date was your business established?*

Federal Tax ID*

If your business requires Plant World, Inc. to with-hold sales tax, please provide an original NM Non-Taxable Transaction Certificate for our records.

Please Upload your NTC Certificate Here.

Owner/Corporate Officer Information

Owner/Corporate Officer 1 Name*

First Middle Last

Owner/Corporate Officer 1 Address

Street Address Address Line 2 City State ZIP Code

Owner/Corporate Officer 1 E-mail Address*

Enter Email Confirm Email

Owner/Corporate Officer 2 Name

First Middle Last

Owner/Corporate Officer 2 Address

Street Address Address Line 2 City State ZIP Code

Owner/Corporate Officer 2 E-mail Address

Enter Email Confirm Email

Owner/Corporate Officer 3 Name

First Middle Last

Owner/Corporate Officer 3 Address

Street Address Address Line 2 City State ZIP Code

Owner/Corporate Officer 3 E-mail Address

Enter Email Confirm Email

Bank Reference

Bank Name*

Account Number

Branch/Officer*

Bank Address*

Street Address Address Line 2 City State ZIP Code

Bank Phone #*

Trade References

Supplier Name*

Account Number*

Phone #*

Fax #

Supplier Address*

Street Address Address Line 2 City State ZIP Code

Supplier Name

Account Number

Phone #

Fax #

Supplier Address

Street Address Address Line 2 City State ZIP Code

Supplier Name

Account Number

Phone #

Fax #

Supplier Address

Street Address Address Line 2 City State ZIP Code

The information herein supplied is for the purpose of obtaining credit and is warranted to be true. Applicant is requesting an open credit line of(minimum of $500.00)*

Please enter a value greater than or equal to 500.00.

Enter Requested Credit Amount

Based upon anticipated monthly purchases of:*

Enter estimated monthly purchase amounts

Current Financial Statement Upload*

and APPLICANT HEREBY REPRESENTS AND WARRANTS THAT APPLICANT IS FINANCIALLY ABLE TO PAY FOR ALL GOODS PURCHASED AND TO SATISFY ALL BILLINGS WITHIN INVOICE TERMS. Approved credit line is based upon information provided on application. Applicant agrees to pay all invoices in FULL 30 days from the invoice date. Late Fee Finance Charge of 1.5% will be assessed on total unpaid balance. Late fee assessment accrued monthly. Applicant hereby authorizes Plant World, Inc. to review the information contained in this application and authorizes our bank and trade references to release any requested information to Plant World, Inc. for the purpose of granting credit to this establishment. This agreement shall constitute the entire Agreement of the parties with regard to the terms of the sale payment. Plant World, Inc. shall not be bound by additional terms set forth in any orders, purchase orders or communications, whether written or oral, unless those terms are specifically accepted by Plant World, Inc. in writing. Shipment of any products by Plant World, Inc. shall not constitute acceptance of any additional terms, it being the intent of the parties that the terms of this Agreement shall supercede any such conflicting provisions or terms. Applicant is requesting a Credit Line from Plant World, Inc. that has its principal place of business in Albuquerque, New Mexico. Applicant agrees that this Agreement shall be governed by and construed in accordance with the laws of the State of New Mexico. Applicant irrevocably submit in any suit, action or proceeding arising out of or relating to this Agreement, to the jurisdiction of the Second Judicial District Court located in Albuquerque, New Mexico, and Applicant waives any and all objections to jurisdiction and venue and agree that venue for any such suit, action or proceeding shall lie solely in Bernalillo County, New Mexico. Applicant and Plant World, Inc. each waive any right to a trial jury on any claim, demand, action, cause of action or counterclaim arising under, or in any way related to this Agreement and under any theory of law or equity, whether now existing or hereafter arising. A copy of most recent financial statement is required.*

HAVEN’T REGISTERED YET?

In House Financing Application

Billing or Authorized Contact Person

About Your Business

Owner/Corporate Officer Information

Bank Reference

Trade References