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  • Business Credit Order App

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    Kathleen Dearinger
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    This document is an order form for business credit reports. It requests the customer's contact information and credit card details to pay for the report. The customer must agree to comply with the Fair Credit Reporting Act and security requirements before a report on a specified business can be provided.

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    This document is an order form for business credit reports. It requests the customer's contact information and credit card details to pay for the report. The customer must agree to comply with the Fair Credit Reporting Act and security requirements before a report on a specified business can be provided.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    Download as doc, pdf, or txt
    26 views2 pages

    Business Credit Order App

    Uploaded by

    Kathleen Dearinger
    This document is an order form for business credit reports. It requests the customer's contact information and credit card details to pay for the report. The customer must agree to comply with the Fair Credit Reporting Act and security requirements before a report on a specified business can be provided.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 2

    Business Credit Reports

    Order Form
    PRINT-COMPLETE-SIGN-FAX TO 626 398-0642
    Name__________________________________________________________Date_____/_____/_______

    Firm Name (If Applicable)_____________________________Type of Business____________________

    Address___________________________________City_________________State______Zip__________

    E-mail Address________________________________________________________________________

    Phone #__________________________________Fax #_______________________________________

    Credit Card you wish Billed? [ ] Visa [ ] Mastercard [ ] Discover [ ] Amex

    Name of Cardholder____________________________________________________________________

    Credit Card #__________________________________________Expiration Date__________________

    I have read and understand the Fair Credit Reporting Act and agree to abide by it in its entirety. I
    also agree to terms of the (included) Security Access Requirements Agreement.

    Signature______________________________________________________Date_____/_____/_____

    I wish to order a [ ] U.S. Business Credit Report [ ] U.S. DNB Report

    Firm Name _________________________________________Type of Business____________________

    Address___________________________________City_________________State______Zip__________

    E-mail Address________________________________________________________________________

    Phone #__________________________________Fax #_______________________________________

    Other info____________________________________________________________________________

    _____________________________________________________________________________________
    Accurate Credit Bureau 1792 E. Washington Blvd. Pasadena CA. 91104 Phone 626 798-6670 Fax 626 398-0642
    www.accuratecredit.com

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