Business Credit Intelligence

T: 508.366.2800 F: 781.735.0303 E: askbci@thebcinetwork.com

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Company Information
Company Name*
DBA/Trade Name
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Website*
Federal ID #
Industry Code*
SIC or NAICS Code or Description*
Type of Business*
Company's Fiscal Year End*
MM slash DD slash YYYY
Importer/Exporter of Goods & Services*
Years in Business*
Products & Services Sold*
Legal Structure*
Public/Private*
Sales Region*
Number of Customer Accounts*
Annual Sales Revenue*
Company A/R System*
Does your company submit A/R electronically to any credit bureaus or reporting agencies?*
My company currently belongs to an industry credit group:
If Yes, what is the group name?
What entity manages the group?
My company is interested in joining a BCI trade exchange credit group*
Is your company affiliated with, owned or operated by a debt collection business or commercial credit reporting agency?*
Company Contact Information
Contact Name*
First Last
Phone*
Title*
Fax
Professional Designation*
Email*
Years in Credit Profession*
# of Credit & Collections Staff*
Is your company interested in a corporate membership?*
Financial Officer/Controller*
Email*
AP Contact Name*
AP Contact Telephone*
AP Contact Email*
Check Services you are interested in*
- Commercial Credit Reports
- Consumer Credit Reports
- Credit Reference Checking and/ or Application Processing Services
- Industry Credit Groups
- Special Interest Groups
- Commercial Collections Services (Collections, Skip Tracing, NSF Checks, A/R Past Due Services, Pre-Collections and/or Demand Letters)
- Credit Education & Professional Certification Programs
- Employment Services
- Credit Policy Consultancy
How did you learn about BCI?
- Website
- Current Member
- Other
Other
Would you like us to contact you to arrange an on-site visit?*
Would you like to be notified of educational events, news and service announcements?*
Comments, Questions or any other Information:
Terms and Conditions
Upon receipt, your application will be reviewed. Applications accepted will be processed and an invoice will be sent to you. Once payment is received in full, your access to BCI/NACM-New England, Inc. services will be activated. I understand that company fees for products and services are due upon invoice. Annual service fees for membership and groups are set at the prevailing rates, are subject to change and continue from year-to-year unless notice of cancellation in writing is given at least 30 days in advance of annual renewal date and that my company is responsible for such charges. I understand that there are no refunds, including fees for unused services. Any amount past due is subject to a monthly 1.5% finance charge. The applicant hereby agrees to pay interest or late charges on all unpaid invoices for products and services from the date due until all sums are paid in full, at the lesser of one and one half percent (1-1/2%) per month, compounded monthly, or at the highest contract rate allowed by law. All costs of collections, before and after judgment, including but not limited to court costs, interest and reasonable attorney fees.

The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age: because all or part of the applicant’s income devices from any public assistance program: or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this creditor is the Federal Trade Commission.

The applicant certifies that the statements contained in the application are accurate, that he/she will abide by the BCI/NACM-New England Inc. bylaws and regulations, and that he/she has the authority to execute this agreement on behalf of the applicant company.
I agree to the Terms & Conditions*
- Yes
- No
Signature / Title*
Date*
MM slash DD slash YYYY
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