Credit Inquiry
	Company Name			The person or company listed below has applied
				for credit from our company, and has given us
	Date:			your name as a credit reference. Please provide
				us with the information listed below. All responses
	Fax back to:			are strictly confidential.
	Reference:			Applicant:
	Phone:
	Fax:
		What is your name and title?
		How long has this customer had credit with you?
		What payment terms do you offer this customer?
		Customer usually pays (circle one):		Early On Time 5-10 Days Late
				30-60 Days Late Over 60 Days Late
		Largest amount owed:
		When?
		Total sales volume this year:
		Total sales volume previous year:
		Has customer every disputed a bill?
		If so, what was the result?
		How would you rate this customer overall?		Excellent Good Satisfactory Fair Poor
		Comments