FINANCING APPLICATION

3710 Skyview Ln SE Southport NC 28461 8485

(910)457-4441 (910)457-7102 Fax

southportconcrete@gmail.com

Credit Application

NOTE: STATE LAW REQUIRES WE HAVE CARD ON FILE. PLEASE SUBMIT IF APPLICABLE

YOU WILL BE CHARGED SALES TAX IF YOUR CARD IS NOT ON FILE WITH US.

Officer Information – Please List All Owners/Partners and Their Titles

Additional Information

Financial Reference 

Please note that any amount over $3000 per month may require a financial statement 

References (List 4 Business References – 3 Of Which Are Not Other Concrete Companies) 

Southport Concrete Corp.

Business / Commercial Application for Credit Page 2

The undersigned hereby makes this application for credit to Southport Concrete Corp. and in making this application the undersigned agrees to be bound by all the terms and conditions contained in this Credit Application, any documents referenced in this Credit Application, or any supplements.


All sales will be C.O.D. until notification of credit approval.


The undersigned agrees that all invoices and monthly statements are conclusive and accurate in all respects unless the undersigned notifies Southport Concrete Corp. in writing within 30 days of the date of invoice. The undersigned agrees that all invoices are payable by the 10th of the month following the date of purchase. The undersigned agrees to pay for all goods purchased regardless of whether the purchaser receives any payments due him for the installation of goods. The seller (re: Southport Concrete Corp.,) may apply payments received at its discretion. Invoices are to be paid in full. All invoices and statements will be paid by the due date or delinquency charges may be assessed at a rate of 1.5% per month or the highest rate allowed by law on any amount which becomes delinquent. I understand that Southport Concrete Corp. retains all lien rights and may exercise those rights should the account become delinquent. Additionally, the undersigned agrees to be responsible for all collection costs and attorney's fees in connection with any delinquent amount placed for collection in any manner. At the option of Southport Concrete Corp., the venue of any suit brought to collect this account may be had in Brunswick County Superior Court of the state of North Carolina. Any NSF or checks written on accounts will assess a $25.00 NSF Fee.


Should credit availability be granted, all decisions with respect to the extension or continuation of credit shall be in the sole discretion of Southport Concrete Corp. If your application for credit is denied you have the right to a written statement of the reasons for the denial. To obtain a statement please contact Southport Concrete Corp. in writing at: 3710 Skyview Lane, Southport NC 28461 within

60 days from the date you were notified of the decision. The person/s signing this application certify that all of the information contained in this application and any attachment or amendment is true, correct, and complete to the best of their information, knowledge. I/We agree to the above terms and conditions. You are hereby authorized to contact any or all of the above references and financial institution/s, as well as utilize outside credit reporting services to help establish a decision regarding credit worthiness. I understand that Southport Concrete Corp. is in no way obligated to

grant me credit. Nor will any credit be granted without the authorized signature below.

Personal Guarantee:


I agree to the above terms and conditions stated and do assume personal liability for payment of said applicant's account. You are hereby authorized to utilize outside consumer credit reporting services to help establish a decision regarding my credit worthiness. It is understood that credit may not be granted without this personal guarantee.

The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, martial status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant's income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act 

Terms and Conditions for Credit

Billing Period – Our billing cycle cuts off on the 25th of each month with payment being due on the 10th of the next month. Any account not paid by the 10th may be subject to being put on hold until account is current.


Delivery – You will have 1 hour to pour out 6 yards or more in a truck. Anything less than yards you will have 30 minutes. If you go over the time limit, there is a charge of $1.00 per minute added to the bill.


There is a minimum delivery of 3 1/2 yards without a service charge. If you order less than this there will be a $75.00 delivery fee.


Payments – We accept cash, check, Mastercard, Visa, PayPal and online payments.


I have read and accept these conditions for credit with Southport Concrete Corp.

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