Ex-Im Bank Trade Reference Form

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EX-IM Bank TRADE REFERENCE FORM
Note: Trade Experience Form should be signed and dated by the person taking the information.
FOREIGN BUYER NAME & ADDRESS________________________________________
_____________________________________________________________________________
NAME OF COMPANY GIVING REFERENCE:_____________________________________
NAME OF PERSON GIVING REFERENCE:_______________________________________
TITLE:_____________________________________PHONE:__________________________
FAX:_______________________________ E-MAIL:_________________________________
YEARS OF EXPERIENCE WITH BUYER:_________________________________________
ESTIMATED ANNUAL SALES TO BUYER:_______________________________________
TERMS OF SALE:_____________________________________________________________
HIGH CREDIT:_________ HIGHEST CREDIT WITHIN THE PAST 12 MONTHS:_______
DATE OF LAST SALE:_________________________________________________________
CURRENT OUTSTANDING BALANCE:__________________________________________
BALANCE PAST DUE:_________________________________________________________
PAYMENT EXPERIENCE:
Prompt:___
30 days slow:___
60 days slow:___
90+days slow:_______
COMMENTS:_________________________________________________________________
NAME OF COMPANY TAKING REFERENCE:____________________________________
NAME OF PERSON TAKING REFERENCE:______________________________________
SIGNATURE OF PERSON TAKING REFERENCE:________________________________
TITLE:_____________________________________PHONE:__________________________
FAX:_______________________________ E-MAIL:_________________________________
DATE:___________________
EIB99-14
September 29.2006
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