Fields with (*) are required. Date: REFERENCE:Fax:Email Address*:REGARDING:THE ABOVE REFERENCED IS INTERESTED IN ESTABLISHING AN OPEN ACOUNT WITH US. THEY HAVE LISTED YOUR COMPANY AS A CREDIT REFERENCE. WE WOULD APPRECIATE YOU PROVIDING US WITH THE FOLLOWWG INFORMATION.1.) How long have you sold to them? 2.) What are your terms? 3.) What is their current balance? 4.) What is their high credit? 5.) Have they ever been past due? 6.) If so, how many times?7.) Average days for payment?8.) When was their last sale date?THANK YOU FOR YOUR TIME AND EFFORT.