hide random home screenshot http://www.satelnet.org/credit/application.html (World Wide Web Directory, 06/1995)
Internet Credit Bureau Customer Application

Internet Credit Bureau Customer Application

Before you can use any of our services, you will need to complete the following application form. After we receive the form, we will contact you with your customer ID number, which will enable you to request credit information and make use of our other services.

Company Information:

Company Name Address City, State, ZIP Telephone Number FAX Number E-Mail Address

Nature of Business When Established Business License Number On File Where?

Officers, Partners or Principals:

Name Title Home Address City, State, Zip Social Security Number

Name Title Home Address City, State, Zip Social Security Number

We will use your services for the following purposes:

extending credit for service, merchandise, or leasing
verify social security numbers
collection of delinquent accounts
locate individuals
other
please describe