Credit Information Request

Allen Electric Supply Co.

We Are
Committed To Quality.

Requests for Credit Information

Sellers requesting credit information about our customers, must do so by completing the following on-line form. We will reply as soon as we are able to do so. Our reply will include only the information detailed at the end of this form. You must first obtain the customer's Allen Electric account number before completing this form. This requirement is for the protection of our customer's privacy and security. After completing this form, be sure to press the submit button.

About The Requestor:

Your Company Name:

Your Address:

Your First & Last Name:

Your Title:

Your Email Address:

Your Phone Number:

Your Fax Number:

About Your Customer:

Customer Name:

Customer Address:

Customer's Account Number at Allen Electric:

The account number must be obtained from the customer. It appears in the upper right hand corner of every invoice we issue. Account numbers are formatted as 99-99999.

Does customer already have an account with your company?

Yes
No

If customer has an account with you, please provide us with your experience:

Current Payment Habits:
Recent High Credit:
Any Other Comments?

Does the customer have an order pending with you?

Yes.....Approximate Value:
No

Here is the information that we will provide to you:

Date Account Opened:

Recent High Credit:

Payment Habits:

Approximate
Amount Owing:

Approximate Amount
Now Past Due:

Limited other objective comments, if appropriate:

© 2010 Allen Electric Supply Co. All rights reserved. Other websites wishing to link to this website are authorized only to link to our homepage with the provision that our site will not be framed within the other website. Linking to pages other than our homepage without our written permission is prohibited. All brand or product names used throughout this website are trademarks of their respective holders. Published by Allen Electric Supply Co. Comments or Suggestions: service@allenelectric.com

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