Credit Information Request

CREDIT INFORMATION REQUEST

Date:_________________________________

To:___________________________________



Dear:_________________________________:

Thank you for your recent order dated______________________, 20_____.

We shall be pleased to consider you for a line of credit, however, we first require additional information.

Accordingly, would you please provide us with the information checked?

_____ Bank Affiliations

_____ Credit Application (enclosed)

_____ Current Financial Statements

_____ (_____) Trade References and Bank References

_____ Dun and Bradstreet or Other Credit Reporting Rating

_____ Other:_____________________________________________

Pending receipt of this information we suggest C.O.D. or advance payment of $__________ on this order to expedite prompt shipment. Upon receipt we shall immediately ship your order.

A self-addressed envelope is enclosed for your convenience. Of course, all credit information submitted shall be held in strict confidence.

Sincerely,




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