Credit Reference Request Step 1 of 3 - Credentials Page 0% As a representative of my company, I agree to BCI's Terms & Conditions* Yes A "yes" response is required to proceed.Your Company's Name*REQUIREDYour Company's Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands REQUIREDYour Name* First Last REQUIREDEmail* REQUIRED - We are auditing emails from companies to ensure compliance to a maximum of 3 credit reference requests per month.Phone*REQUIREDLooking for a AR trade reference from what company?*REQUIRED - Please read carefully; who do you want to get trade information from (not the customer you are seeking a reference on). Customer for which you are seeking a Credit Reference onPlease provide the following customer information.: Customer's Legal Name*REQUIREDDBA or Other Trade NamePlease provide if available.Address* Street Address City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands REQUIREDTrade ExperienceBCI has a "give-to-get" trade exchange policy. In order to obtain a trade reference, you must supply your trade experience. Our compliance audit requires that your company submit complete, factual and current information; if information is not shared, access to request information will be revoked.Account Status* Customer is active, has no terms, might be buying on COD, CIA, etc. Customer is active, has terms, too new to provide experience/first sale Customer is active, has terms and trade experience to report Customer is active, has terms but no recent buying experience Customer is inactive, does not have terms, but has past trade experience Never a Customer/Not Selling REQUIRED - These options have changed to provide more consistent and clear responses. The AR aging details should align with the choice you select.Reason for Requesting a Reference* Application for Credit Terms Pending Application for Credit Terms Approved Reapplying for Credit Terms Payment Trend Slowing Increased Exposure File Review REQUIRED - Please select the most appropriate choice for your reason to request a trade reference.Aging InformationCurrent - Amount due within termsREQUIRED; If application pending, enter 0. 1 - 30 Days beyond Terms (Past Due)Please enter a number greater than or equal to 0.31 - 60 Days beyond Terms (Past Due)Please enter a number greater than or equal to 0.61 - 90 Days beyond Terms (Past Due)Please enter a number greater than or equal to 0.91+ Days beyond Terms (Past Due)Please enter a number greater than or equal to 0.Total Balance*REQUIRED: Total Amount Owed (will calculate)Historical Sales InformationHigh Credit*Please enter a number greater than or equal to 0.REQUIRED; if application pending enter 0Days Beyond Terms*REQUIRED: Current days beyond terms (enter 0 if currently within terms or application pending) First Sale Date Month Day Year REQUIRED unless application pendingLast Sale Date Month Day Year REQUIRED unless application pending Additional Details:Please provide us with any other details about this customer, their payment trends and history with your company.Credit Status No issues/Paying as agreed and/or Discounts Past Due Slow/ Payment Trend Improving Past Due Slow/On-Off Credit Hold Past Due/Not paying as Agreed AR Converted to Note Receivable Credit Declined/Withdrawn/Account Closed Written Off to Bad Debt Payment Alert/Pattern Received Promise to Pay Broken Promise to Pay Returned Check/NSF Returned Check/Stop Payment/Account Closed Credit Card Declined ACH/EFT - Declined/NSF ACH/EFT - Draft Pushed Out Swapping Dollars Payment Method Cash Check Credit Card Electronic: ACH/EFT/Wire Payment Terms Payment in Advance COD/Payment on Delivery Has Credit Terms On Payment Plan Balance Comment Administrative Issue Credit Balance/Returned Materials/Mfr Error Retainage Dispute Finance/Service Charges Unauthorized Deductions/Discounts Taken Legal/Account Alert or Update Ownership/Management Change Location/Address Change Business Closed/Out of Business Final Demand Made Placed for Collection/Legal Action Taken Bond or Lien Filed Small Claim/Judgment Filed Security/Account Type Secured/Collateralized Account/UCC Filed Guaranteed - Corporate and/or Personal Mechanics Lien Bond Account Job Account Joint Check Agreement Buying Group Arrangement Letter of Credit Credit Insurance - Full or Partial Factor Account Financial Statement Received Tax Return Received