credit.welchpkg.com Open in urlscan Pro
38.111.246.165  Public Scan

Form analysis
1 forms found in the DOM

POST https://credit.welchpkg.com/response?id=912869d43523332

<form action="https://credit.welchpkg.com/response?id=912869d43523332" accept-charset="UTF-8" method="post"><input name="utf8" type="hidden" value="✓"><input type="hidden" name="authenticity_token"
    value="qt+hdzzaZgOxCnlHQg3INerHPAysj4Jxaqudqc4JVX0ljm7VrVJ55iXXjbu4qVbe2J/pmnyrKepHZ35b3Hbt8g==">
  <p> <label>Your Name</label> Misty Bruner </p>
  <p> <label>Your Email</label>business@tiaabank.com</p>
  <p> <label>Your Company</label> TIAA</p>
  <div>
    <label for="Your_Phone_Number">Your phone number</label>
    <input type="text" name="Your Phone Number" id="Your_Phone_Number">
  </div>
  <div>
    <label for="Date_Account_Opened">Date account opened</label>
    <input type="text" name="Date Account Opened" id="Date_Account_Opened">
  </div>
  <div>
    <label for="Loan_Type">Loan type</label>
    <select name="Loan Type" id="Loan_Type">
      <option value="LOC">LOC</option>
      <option value="Term">Term</option>
    </select>
  </div>
  <div>
    <label for="High_Credit">High credit</label>
    <input type="text" name="High Credit" id="High_Credit">
  </div>
  <div>
    <label for="Current_Balance">Current balance</label>
    <input type="text" name="Current Balance" id="Current_Balance">
  </div>
  <div>
    <label for="Payment_History:_Takes_Discounts">Payment history: takes discounts</label>
    <select name="Payment History: Takes Discounts" id="Payment_History:_Takes_Discounts">
      <option value="Yes">Yes</option>
      <option value="No">No</option>
    </select>
  </div>
  <div>
    <label for="Pays_within_Terms">Pays within terms</label>
    <select name="Pays within Terms" id="Pays_within_Terms">
      <option value="Yes">Yes</option>
      <option value="No">No</option>
    </select>
  </div>
  <div>
    <label for="Average_Days_to_Pay">Average days to pay</label>
    <input type="text" name="Average Days to Pay" id="Average_Days_to_Pay">
  </div> <input type="hidden" name="id" id="id" value="912869d43523332">
  <input type="submit" name="commit" value="Submit">
</form>

Text Content

WELCH PACKAGING


BANK REFERENCE FORM

Information Request Concerning
Natalie Morris, Beans Books, Inc.
natalie@christianbookbag.com

Dear Misty Bruner,

Natalie Morris, of Beans Books, Inc., has listed you as a reference on a recent
credit application. Please complete the following credit information so that we,
Welch Packaging, can complete their credit evaluation. When you are complete,
hit the submit button at the bottom of the page.

Your Name Misty Bruner

Your Emailbusiness@tiaabank.com

Your Company TIAA

Your phone number
Date account opened
Loan type LOC Term
High credit
Current balance
Payment history: takes discounts Yes No
Pays within terms Yes No
Average days to pay

By pushing the "Submit" button, you are sending this credit information to our
vendor for their credit evaluation.

Welch Packaging
1020 Herman Street
Elkhart, IN 46516-9028
(574) 295-2460