CREDIT REPORTS WORLD ORDER FORM
FOR FIRST TIME CLIENTS
Client Information
Fields marked with ( * ) must be completed
==============================================================================
*
Your Company Name
Address
*
Contact Person
*
Telephone
*
Email Address
Fax
==============================================================================
Company of Interes
t
*
Priority
Express (up to 5 / 7 days)
Normal (
up to 10 / 12 days
)
*
Company Name (complete)
*
Address
*
City
*
State / Province
*
Country
*
Postal Code
*
Telephone
Fax
Email Address
Website
Principal(s)
Bank(s)
==============================================================================
Trade References ( Optional )
Company Name (1)
Country (1)
Telephone (1)
Fax (1)
Email (1)
==============================================================================
Company Name (2)
Country (2)
Telephone (2)
Fax (2)
Email (2)
==============================================================================
Company Name (3)
Country (3)
Telephone (3)
Fax (3)
Email (3)
==============================================================================
Comments
Credit Opinion
(US$) (nxc)
*
Permission for investigator to identify
Company of Interest
(
complete confidence
)
YES
NO
