Credit Application
General Information Business Name: * Phone: * Fax: * (please do not use dashes in phone number and fax number) E-mail: * Billing Information Billing Address: * Billing City: * Billing Zip: * Billing ST: * Delivery Information Delivery Address: Delivery City: Delivery Zip: Delivery ST: =========================================== Tax Identification Number # * Owner/Principals Names: Title: Accounts Payable Contact: Title: Terms Requesting: PROFORMA COD NET 30 Credit Card Bank Information: Bank Name: Bank Acct #: Bank Contact: Bank Address: Bank City: Bank Zip: Bank ST: Trade References: Reference 1 Company Name: Address: Telephone: (please do not use dashes in phone number) Reference 2 Company Name: Address: Telephone: (please do not use dashes in phone number) Reference 3 Company Name: Address: Telephone: (please do not use dashes in phone number) Reference 4 Company Name: Address: Telephone: (please do not use dashes in phone number) I would like to place an order immediately, please contact me.. Sample Book Request: Upholstery Drapery Both **Please read sample book agreement below NOTE: Line Items marked with (*) are required fields. Please scroll up and make sure they are filled out **The following agreement applies if you are interested in receiving sample books from Norbar Fabrics:
WELCOME TO NORBAR FABRICS SAMPLE BOOK PROGRAM In order to receive sample books from Norbar Fabrics, a processing fee of $50.00 must be received prior to books being sent to you. This processing fee covers the initial cost of setting up your account, defrays the cost of shipping, and allows us to send you free sample books going forward based on your volume with us. We accept Visa, Master Card, American Express, and Discover or you can send a check made payable to Norbar Fabrics Company. REBATE PROGRAM After you receive your collection of books we will begin to monitor and review your orders on a daily basis. As you order, we will continue to send you FREE SAMPLE BOOKS! If your sales reach a total of $500.00 within one year of the issue date we will issue a credit to your account in the amount of $50.00 to be used on future orders. The sooner you reach the $500.00 mark, the faster you will receive your rebate! BOOK RETURN PROGRAM There are tremendous costs involved to produce the beautiful fabric collections you will receive. While we are happy to send you this product, we would like to remind you that these collections are limited in number and once books are distributed they are rarely reproduced. As a result, if you do not place any orders within 120 days from the shipment date, we reserve the right to have the books returned at your expense. Please call us with your credit card information in order to receive sample books.
Norbar Fabric e-mail: sales@norbarfabrics.com Phone:800-645-8501 Fax:561-997-0801 7670 N.W. 6th Ave Boca Raton, FL 33487