Credit Reference Template - Free Download
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GenScript USA Inc.
860 Centennial Ave., Piscataway, NJ 08854, USA
Tel: 732-885-9188 Fax: 732-210-0262
Credit Reference Form
Company Name: Phone:
Address: Fax:
Date Business Was Started: Federal Tax ID#:
Business Status:
Nature of Business:
Annual Sales Revenue OR Grand/Fund: No. of Employees:
Accounts Payable Contact: Web Site:
Corporate Officers: 1.---------------------------------- Title:-------------------------------
2.---------------------------------- Title:------------------------------
Trade References:
Company Name: Address: Phone and Fax:
1.-------------------------------------------------------------------------------------------------------------------------------
2.-------------------------------------------------------------------------------------------------------------------------------
3.-------------------------------------------------------------------------------------------------------------------------------
Bank Reference: Bank Name:----------------------------------------------- Account NO. --------------------------
Address:------------------------------------------------------------------------------------------------
Contact:------------------------------------------------ Phone:-------------------------------------
I authorize the above stated references to provide GenScript USA Inc. with any
information in their possession regarding their business experience with my company or
me.
Signature:------------------------- Name/Title:-------------------------------- Date:----------------------------
source: genscript.com
