Reseller Support
Bank Credit Inquiry

Customer Information

Date

Bank Name

Bank Phone

Company Name

Company Address



 Company Phone

Company Fax
Company Account No.
Your Name

Title

The undersigned certifies that the above information,given for credit purposes, is true and correct and 
authorizes all parties contacted to release all credit and financial information requested, including 
banking records.


AUTHORIZED SIGNATURE:

DATE:

 

 

 

FOR BANK USE ONLY:

Dear Bank Officer:

The above captioned company has applied for an open line of credit with Kwong Quest (Benwin) 
in the amount of $.We appreciate your assistance in providing the following information. 
Please fax the completed form to Benwin at FAX: 626.935.8891. Thank You.

 

Checking

Savings

Other

Open Date

Avg. Balance

Current Balance

No. of NSFs

Account Rating

Credit Line:YesNo        Secured:YesNo  
Account Type

Open Date: Credit Limit:  Current Balance:
Maturity Date:

Comments:

Prepared By:
Date:

Print Name:

Title:

Thank you, 

Benwin Credit Department.

FAX: 626.935.8891

For customers requesting credit, after you complete the form please use your browser's PRINT button and print it out. If you are a California Reseller, please fax the three printed forms plus a copy of your California Resellers Permit now to Benwin at 626.935.8891

If you are NOT a California Reseller, please complete the California resellers permit request form by clicking here