Dear :

[company] has given the name of your organization as a credit reference. Would you please provide us with the following credit information on this company:

Year of First Sale

Highest Credit Last 12 Months

Amount Now Owing

Amount Past Due

Terms of Sale

Promptness of Payment

(You may add any additional information or comments.)

Please use the enclosed return envelope. The information you share with us will be held in strict confidence and will be used for credit purpose only.

We appreciate your cooperation and will gladly reciprocate at any time.

Sincerely yours,

[name]

[title]