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https://support.dnb.com/TradeReference?id=5003a00001Bw5gG&guid=a66f03759d83047903598264f6a504a4202201020045
Submission: On January 07 via manual from US — Scanned from GB
Submission: On January 07 via manual from US — Scanned from GB
Form analysis 1 forms found in the DOM
Name: j_id0:theTemplate:ReferenceSubmission — POST /TradeReference?id=5003a00001Bw5gG
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<p>
<label title="Submit the experience with the information provided.">
<input checked="true" id="ActionU" name="Action" onclick="ActionProvide();" type="radio" value="UPDATE">CREDIT REFERENCE PROVIDED</label>
</p>
<p>
<label title="Customer Name and/or information provided does not match your records.">
<input id="ActionN" name="Action" onclick="ActionDecline();" type="radio" value="NOTCUST">NOT MY CUSTOMER</label>
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<p>
<label title="No recent activity on account; unable to validate the experience; do not wish to provide experience.">
<input id="ActionX" name="Action" onclick="ActionDecline();" type="radio" value="DECLINED">DO NOT WISH TO PROVIDE</label>
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<p>
<label title="Remove this experience request and will block from future reporting requests.">
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</p>
</div>
<span class="errorMsg" id="ReqAction" style="display:none;"> * Please select one of the above actions. </span>
<p> </p>
<div id="ExperienceInfo">
<table class="form-container bg-white" style="width: 100%;">
<tbody>
<tr>
<td class="labelCol" style="width: 5%;">Last Sale Date:</td>
<td class="valueCol" style="width: 95%;">
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<br>
<span class="label">The most recent transaction with this customer (m/d/yy)</span>
</td>
</tr>
<tr>
<td class="labelCol">Selling/Payment Terms:</td>
<td class="valueCol">
<select id="PaymentTerms" name="PaymentTerms" onchange="onChangePaymentTerms();">
<option></option>
<option value="Cash">Cash</option>
<option value="Prepaid">Prepaid</option>
<option value="COD (Cash on Delivery)">COD (Cash on Delivery)</option>
<option value="Net 7">Net 7</option>
<option value="Net 15">Net 15</option>
<option value="Net 30">Net 30</option>
<option value="Net 45">Net 45</option>
<option value="Net 60">Net 60</option>
<option value="Net 90">Net 90</option>
<option value="EOM (End of Month)">EOM (End of Month)</option>
<option value="PROX (Defined Day of Month)">PROX (Defined Day of Month)</option>
<option value="Other">Other</option>
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<span class="errorMsg" id="ReqPaymentTermsOther" style="display:none;">* Please provide a payment term.</span>
<br>
<span class="label">When is payment expected and any conditions of the sale</span>
</td>
</tr>
<tr>
<td class="labelCol">Payment History:</td>
<td class="valueCol">
<select id="PaymentHistory" name="PaymentHistory" onchange="onChangePaymentHistory();">
<option></option>
<option value="Discounts">Discounts</option>
<option value="Prompt">Prompt</option>
<option value="Prompt to Slow">Prompt to Slow</option>
<option value="Slow">Slow</option>
<option value="Placed for Collections">Placed for Collections</option>
<option value="Bad Debt/Write-Off">Bad Debt/Write-Off</option>
<option value="Account in Dispute">Account in Dispute</option>
<option value="Unsatisfactory">Unsatisfactory</option>
</select>
<label class="label" id="PaymentHistoryDaysField" style="display:none;"> Days: <input id="PaymentHistoryDays" name="PaymentHistoryDays" onchange="onChangePaymentHistoryDays();" size="5" type="text">
</label>
<span class="errorMsg" id="ReqPaymentHistoryDays" style="display:none;">* Please provide number of days slow.</span>
<br>
<span class="label">How has the client paid and current status</span>
</td>
</tr>
<tr>
<td class="labelCol">High Credit:</td>
<td class="valueCol">
<span class="label">$</span>
<input id="HighCredit" name="HighCredit" onchange="onChangeHighCredit();" size="10" type="text">
<span class="errorMsg" id="ErrHighCredit" style="display:none;">* "High Credit" cannot be zero or less than "Now Owes" or "Past Due".</span>
<br>
<span class="label">Highest amount owed to you at any one time over the past 12 months (in US$)</span>
</td>
</tr>
<tr>
<td class="labelCol">Now Owes:</td>
<td class="valueCol">
<span class="label">$</span>
<input id="AmountOwing" name="AmountOwing" onchange="onChangeAmountOwing();" size="10" type="text">
<br>
<span class="label">Total amount currently outstanding on the account, including both current and past due amounts (in US$)</span>
</td>
</tr>
<tr>
<td class="labelCol">Past Due:</td>
<td class="valueCol">
<span class="label">$</span>
<input id="PastDue" name="PastDue" onchange="onChangePastDue();" size="10" type="text">
<span class="errorMsg" id="ErrPastDue" style="display:none;">* "Past Due" cannot exceed "Now Owes".</span>
<br>
<span class="label">Total amount outstanding as of today (in US$)</span>
</td>
</tr>
<tr>
<td class="labelCol">Products / Services:</td>
<td class="valueCol">
<input id="ProductService" name="ProductService" size="50" style="width: 100%; max-width: 430px;" type="text">
<br>
<span class="label">What products or services do you offer to this customer?</span>
</td>
</tr>
<tr>
<td class="labelCol">Length of Relationship:</td>
<td class="valueCol">
<select id="Relationship" name="Relationship">
<option></option>
<option value="<1 year">Less than a year</option>
<option value="1-2 years">1-2 years</option>
<option value="2-3 years">2-3 years</option>
<option value="3-4 years">3-4 years</option>
<option value="4-5 years">4-5 years</option>
<option value="5-7 years">5-7 years</option>
<option value="7+ years">Over 7 years</option>
</select>
<br>
<span class="label">How long has this company been a customer of yours?</span>
</td>
</tr>
</tbody>
</table>
<span class="errorMsg" id="ReqReference" style="display:none;"> * All fields are required for a reference submission. </span>
<p class="text-center">
<span class="small">** It is important to note that the payment manner and high credit are compiled over a twelve month period **</span>
</p>
<p> </p>
<div class="form-container bg-white">
<p>May we release your company's name as being the source of the above experience?</p>
<p style="margin-left:15px;">
<label><input id="ReleaseY" name="Release" onclick="Hide('ReqRelease');" type="radio" value="YES">YES</label>
<label><input id="ReleaseN" name="Release" onclick="Hide('ReqRelease');" type="radio" value="NO">NO</label>
</p>
</div>
<span class="errorMsg" id="ReqRelease" style="display:none;"> * Please indicate if we can release your company name or not. </span>
<p> </p>
</div>
<p style="margin-bottom: 5px;"><b>Your contact information:</b></p>
<table class="form-container bg-white" style="width: 100%;">
<tbody>
<tr>
<td class="labelCol" style="width: 5%;">Title:</td>
<td class="valueCol" style="width: 95%;">
<input id="Title" name="Title" size="20" type="text">
</td>
</tr>
<tr>
<td class="labelCol">Name:</td>
<td class="valueCol">
<input id="FirstName" name="FirstName" placeholder="First" size="20" style="width: 33%; max-width: 200px;" type="text">
<input id="LastName" name="LastName" placeholder="Last" size="40" style="width: 66%; max-width: 300px;" type="text">
</td>
</tr>
<tr>
<td class="labelCol">Phone Number:</td>
<td class="valueCol">
<input id="Phone" name="Phone" onchange="onChangePhone();" size="20" style="width: 100%; max-width: 200px;" type="text">
<span class="errorMsg" id="ErrPhone" style="display:none;">* Invalid Phone Number.</span>
</td>
</tr>
<tr>
<td class="labelCol">Email:</td>
<td class="valueCol">
<input id="Email" name="Email" onchange="onChangeEmail();" size="255" style="width: 100%; max-width: 430px;" type="text">
<span class="errorMsg" id="ErrEmail" style="display:none;">* Invalid Email.</span>
</td>
</tr>
</tbody>
</table>
<span class="errorMsg" id="ReqName" style="display:none;"> * Contact information is required for our tracking purposes. </span>
<p> </p>
<p class="text-center">
<input class="button btn btn-primary" id="Submit" name="Submit" type="submit" value="Submit">
</p>
<span class="errorMsg" id="ErrValidations" style="display:none;"></span>
<span class="img-thumbnail bg-success text-success" id="SuccessMessage" style="display:none;"></span>
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</form>Text Content
D&B CREDIT REFERENCE REQUEST Case #28475941 -------------------------------------------------------------------------------- NAVY FEDERAL CREDIT UNION Richmond, VA DUNS: 095587530 Attn: ACCOUNTS RECEIVABLES 8888426328 nffg@navyfederal.org -------------------------------------------------------------------------------- NAVY FEDERAL CREDIT UNION, Your customer, PATTERSON MOVEMENT TRAVEL AGENCY, has listed your company as a credit reference. Your customer is counting on you to provide a reference that could help impact the scores and ratings within their business credit report. Please take a moment to complete this form. For any questions regarding this request, please call us at 866-658-3140. Thank you for your prompt attention. Customer Name: PATTERSON MOVEMENT TRAVEL AGENCY Other Name(s): Address: 115 N Eastwood Ave Apt 5 Inglewood, CA 90301 US DUNS: 117813515 Account Number: Contact: Shatiera Patterson Email: shatierap@gmail.com Phone: 3239012612 CREDIT REFERENCE PROVIDED NOT MY CUSTOMER DO NOT WISH TO PROVIDE BLOCK FROM FUTURE REPORTING * Please select one of the above actions. Last Sale Date: The most recent transaction with this customer (m/d/yy) Selling/Payment Terms: Cash Prepaid COD (Cash on Delivery) Net 7 Net 15 Net 30 Net 45 Net 60 Net 90 EOM (End of Month) PROX (Defined Day of Month) Other * Please provide a payment term. When is payment expected and any conditions of the sale Payment History: Discounts Prompt Prompt to Slow Slow Placed for Collections Bad Debt/Write-Off Account in Dispute Unsatisfactory Days: * Please provide number of days slow. How has the client paid and current status High Credit: $ * "High Credit" cannot be zero or less than "Now Owes" or "Past Due". Highest amount owed to you at any one time over the past 12 months (in US$) Now Owes: $ Total amount currently outstanding on the account, including both current and past due amounts (in US$) Past Due: $ * "Past Due" cannot exceed "Now Owes". Total amount outstanding as of today (in US$) Products / Services: What products or services do you offer to this customer? Length of Relationship: Less than a year 1-2 years 2-3 years 3-4 years 4-5 years 5-7 years Over 7 years How long has this company been a customer of yours? * All fields are required for a reference submission. ** It is important to note that the payment manner and high credit are compiled over a twelve month period ** May we release your company's name as being the source of the above experience? YES NO * Please indicate if we can release your company name or not. Your contact information: Title: Name: Phone Number: * Invalid Phone Number. Email: * Invalid Email. * Contact information is required for our tracking purposes. Please Note: Dun & Bradstreet has a zero tolerance policy for the creation or submission of unsupported/misrepresented trade references. Any attempt to impersonate a vendor or provide unsupported/misrepresented trade references will be thwarted and appropriate action will be taken. © Dun & Bradstreet, Inc. 2000-2022. All rights reserved. Privacy Policy Terms of Use