iGoLogic, Inc.
46750 Fremont Blvd. Ste. 104
Fremont, CA 94538
Tel: 510-252-9388
Fax: 510-252-9399
www.igologic.com
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Credit Reference Request |
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□ Urgent, Order Pending |
Request Date: _________________ |
□ 1st Request |
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□ 2nd Request |
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□ 3rd Request |
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To: _____________________________ Re: ________________________________
Co: _____________________________ Acct#: ______________________________
Address: _________________________ Address: ____________________________
________________________________ ____________________________________
Tel: _____________________________Tel: ________________________________
Fax: ____________________________ Fax: _______________________________
We are in the process of updating our credit file on the above referenced company. We ask you in confidence to assist us with the following information:
Sales Activity Since: _______________ Terms of Sales: ______________________
Date of Last Sale: __________________Credit Limit: _________________________
Highest Balance: ___________________NSF Activity: □Yes □No
Open Balance: ____________________ If Yes how many times: ________________
Over All Rating: □ Good □ Fair □ Poor Payment History: |
□ Prompt □ Slow |
Average days to pay: _______________ |
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Please provide any comments on your experience with this customer that would be helpful to us in determining the terms of credit to extend to applicant:
_______________________________________________________________________________
_______________________________________________________________________________
Products Customer are purchasing? _________________________________________________
Reference given by: |
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_______________________________ |
____________________________________ |
Signature |
Position / Title |
_______________________________ |
____________________________________ |
Print Name |
Date Completed |
► Please fax it to: 510-252-9399 |
Attn: Credit Department |
Thank you very much for your assistance.
Sincerely,
Credit Department
iGoLogic, Inc.
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CreditRef Ver. 0111 |