Patuxent Nursery | Credit Application
Applicant: By filling out and submitting this application, you are applying for a Patuxent Nursery Corporate Credit Account. If you are applying for credit, you authorize Patuxent Nursery to check with credit reporting agencies and credit references to verify information on this application.

You must be a Patuxent Nursery wholesale member to have credit. Patuxent Nursery requires at least 3 references before we approve credit. No exceptions.
Email address *
Name of Business *
Line of Credit Requested *
Credit/Trader References *
Please provide AT LEAST 3 credit/trader references including a name, email, and phone number.
Bank References *
Please provide AT LEAST 1 bank references including a name, address, and account number.
Has the firm or any of its principals ever been Bankrupt? *
If Yes, explain
Before you proceed...
Any misrepresentation in this application will be considered evidence of fraud, since this information is the basis for the extending of credit. As an inducement to grant credit, the undersigned warrants that the information submitted is true and correct. You are authorized to investigate the credit references and principals listed.

In consideration for the extension of credit, said business promises to pay for all purchases within the terms agreed Net 30 Days and agrees to pay a service charge per month of 2% per month (24% annual percentage rate) on all past due balances. This will occur at the end of every month. In the event any third parties are employed to collect any outstanding monies owed by said business the undersigned agrees to pay reasonable collection costs, including attorney fees, whether or not litigation has commenced, and all costs of litigation incurred. The undersigned represents that he/she has the authority to execute this credit agreement on behalf of the business identified.
Authorized Signers *
If you wish to authorize up to 4 signers on your account, please print their names below. We can also attach a photo of your employee for added security. If you wish to take advantage of this feature, please provide a jpeg photo with their name. Email to emily@patuxentnursery.com
By moving forward on this form...
You agree the preceding names and pictures provided are allowed to make purchases on your Patuxent Nursery Account. If there is a change in the information provided today, it is your responsibility to notify Patuxent Nursery in writing immediately to update their system.
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