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Credit Card Processing







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My Account
Credit Card Authorization Form
 
7339 NW 66TH ST - MIAMI, FL 33166
Ph. 305-887-4133
Fax. 305-574-0408

            CREDIT CARD
   AUTHORIZATION FORM


                 CARD HOLDER INFORMATION / PAYMENT AUTHORIZATION - Confidential


Company Name:
Name as Shown on Card:
Card Holder's Billing Address:
City:  State:   Zip:   Country:
Phone:  Ext.:  
Fax:   Cell:
E-mail:

Credit Card Type: VISA AMEX MASTER CARD DISCOVER Other
Card Number: 
Exp. Date:  CCV:
Invoice Numbers:
       

Total Amount to be charged USD$

Description of goods purchased:


YES, I want Natural Stone Solutions to keep my credit card information on file for future purchases.

I wish to authorize the purchase of services/merchandise from Natural Stone Solutions using this Credit Card
Authorization Form. I agree that I will pay for this purchase and indemnify and hold Natural Stone Solutions
harmless against any liability pursuant to this authorization. I understand that my signature on this form will serve as
authorized signature on the credit card charge slip. This authorization is valid for a period of one (1) year.
Directions: Please print this page, fill in all required information above, and fax it to Natural Stone Solutions at
305-877-4201, or mail to 7339 NW 66th Street - Miami, FL 33166.

In Attention to:

Please enter the following code into the box provided:





New Account Application
 
7339 NW 66TH ST - MIAMI, FL 33166
Ph. 305-887-4133
Fax. 305-574-0408

     NEW ACCOUNT
      APPLICATION


                                                                                 COMPANY INFORMATION


Legal Name:
Doing Business as:
Estimated monthly purchases $

Primary Type of Business:


Billing Address: 
City:   State:   Zip:    Country:
Phone:  Ext.:  
Fax:  
Cell:
E-mail:
Website:


Shipping Address:
City:   State:   Zip:    Country:

Purchasing Contact Person:   
Phone:  Ext.:  E-mail:
Cell:  

Are purchases for resale? YES NO
If yes, please send a signed copy of your Resale Certificate for Sales Tax via Fax or E-mail.
E-mail: info@nssusa.com  Fax: 305-574-0408

CREDIT ACCOUNT APPLICATION
If you wish to apply for a credit account, please complete the form bellow and provide us with your four main trade references.

Federal ID Number:
Company Composition: Individual Partnership Corporation LLC
Corporation State: 
Dun & Bradstreet Number:
Years in Business:   Number of Employees:
At Present Location since date:

Are premise leased? YES NO
Amount of Credit Desired $

Principal/Contact:
Title: 
Phone: Ext.: 
Cell:   E-mail:

Accounts Payable Contact Person:
Phone:  Ext.:   E-mail:
Cell:

Trade References:

Company Name:
Contact Person:
Address:
City:   State:  Zip:   Country:
Phone:  Ext.:  
Fax:   E-mail:


Company Name:
Contact Person: 
Address:
City:   State: Zip:   Country:
Phone:  Ext.: 
Fax:   E-mail:



Company Name:
Contact Person: 
Address:
City:  State:  Zip:  Country:
Phone:  Ext.: 
Fax:  E-mail:



Company Name:
Contact Person: 
Address:
City:   State:  Zip:  Country:
Phone:  Ext.: 
Fax:  E-mail:



   Bank Name:
   Contact Person:
   Account Number:

   Address:
   City:  State:  Zip:   Country:
   Phone:  Ext.:
   Fax:   E-mail: 

Terms and Conditions for Credit Accounts only:
All accounts are due net 30. All accounts may be assessed a 1.5% service charge on balances over 30 days. All accounts past 45 days will be denied credit privileges until balance has been paid including service charge. The entire balance of all credit accounts is due and payable in accordance with terms mentioned above and thereafter a service charge of 18% per annul (or the legal maximum for your state) will be made on past due balance. In addition, in the event that it is necessary for Natural Stone Solutions to place this account in the hands of a Collection Agency or Attorney for collection, the undersigned agrees to pay all costs of collection, including reasonable attorney fees in an amount up to 33 1/3%. In consideration of credit being extended to the above business by Natural Stone Solutions we, the undersigned, agree to be jointly, severally, and individually responsible for the payment of any and all goods and services furnished by Natural Stone Solutions to our firm or to us individually. This is a continuing agreement and will remain in full force and effect until the same is revoked either by the undersigned or Natural Stone Solutions by giving written notice of said revocation.

In Attention to:

Please enter the following code into the box provided:




Training Registration Form
 










Fee: USD $99.00 (UP TO TWO PEOPLE) Fee amount can be used on purchased of USD$1,000.00 or more. Please add USD $50.00 per
extra person. Lunch and drinks included.


Company Name:   New Customer: YES NO
Attendee 01:  Phone:  E-mail: 
Attendee 02:  Phone:  E-mail: 
Attendee 03:  Phone:  E-mail: 
Attendee 04:  Phone:  E-mail: 

How did your hear about this training?  
Who is your contact person in NSS?    


7339 NW 66TH ST - MIAMI, FL 33166
Ph. 305-887-4133
Fax. 305-574-0408

            CREDIT CARD
   AUTHORIZATION FORM


                 CARD HOLDER INFORMATION / PAYMENT AUTHORIZATION - Confidential


Company Name: 
Name as Shown on Card: 
Card Holder's Billing Address: 
City:  State:   Zip:   Country:
Phone:  Ext.:   
Fax:   Cell: 
E-mail: 

Credit Card Type: VISA AMEX MASTER CARD DISCOVER Other 
Card Number:  
Exp. Date:  CCV: 
Invoice Numbers: 
         

Total Amount to be charged USD$ 

Description of goods purchased:


YES, I want Natural Stone Solutions to keep my credit card information on file for future purchases.

I wish to authorize the purchase of services/merchandise from Natural Stone Solutions using this Credit Card
Authorization Form. I agree that I will pay for this purchase and indemnify and hold Natural Stone Solutions
harmless against any liability pursuant to this authorization. I understand that my signature on this form will serve as
authorized signature on the credit card charge slip. This authorization is valid for a period of one (1) year.
Directions: Please print this page, fill in all required information above, and fax it to Natural Stone Solutions at
305-877-4201, or mail to 7339 NW 66th Street - Miami, FL 33166.

In Attention to:

Please enter the following code into the box provided:





How do I create an account?
  1) Click the "My Account / Order Status" link at the top right side of our site.
2) Enter your email address.
3) Select "I am a new customer".

Then simply follow the prompts to complete setting up your account. Your information is NEVER sold to any other company and is kept completely private. Please view our Privacy Policy for more information.
How do I edit my account information?
  Click the "My Account / Order Status" link at the top right hand side of our site to edit your account information.
How much is my shipping?
  Shipping is automatically calculated prior to submitting your payment information.  Simply add items to your cart and proceed to the Checkout page where you will be offered Shipping Method choices and their prices.
I forgot my password.
  Click the "My Account / Order Status" link at the top right hand side of our site. Under the login box you'll see a link that says "Forgot your password? Click here". That link will send an email to you with your password.
How do I return my product?
  Please click here for more information on returning an item.
I received the wrong product.
  If you feel that you have received the wrong product, please contact customer service within 72 hours of receiving the product.
What is your return policy?
  Please see our Terms & Conditions for complete details regarding our return policy.
When will my order ship?
  Please see each individual item page for more information on the availability of each item. Also, after placing your order, you may click the "My Account / Order Status" link at the top right hand side of our site to track the status of your order. You will receive a shipment confirmation when your order has shipped and tracking information within 24-48 hours of shipment.