Customer Credit Application/Profile Tracker
Date:
05/30/2001
What did the customer request?
--- choose one ---
Credit Application (CA)
Customer Profile (CP)
Both (CA & CP)
Company Name:
Point of Contact:
Address:
City:
State:
Zip:
Phone number: (with area code)
(
)
-
ext.
Facsimile number: (with area code)
(
)
-
Email:
Delivered by:
--- choose one ---
Mail
Email
Fax
Other
Date application returned:
Date of first order:
Status of Application:*
--- choose one ---
Active
Inactive
*Inactive means after 3 months of no return application and after 6 months of no order
