FLOR-DRI SUPPLY BUSINESS REFERENCE REQUEST

**In order to ensure credit background is processed in a timely fashion, please make sure references are up to date and fax numbers are included**

1.) Business Name 

      Address 

      City    State    Zip 

      Phone No:   Fax No: 

2.) Business Name 

      Address 

      City    State    Zip 

      Phone No:   Fax No: 

3.) Business Name 

      Address 

      City    State    Zip 

      Phone No:   Fax No: 

4.) Business Name 

      Address 

      City    State    Zip 

      Phone No:   Fax No: 

* Although we consider three references sufficient when applying for credit, we suggest that you furnish a fourth as an alternate in case of slow or unresponsive references.

Fax Credit Application, Business References, & Tax ID Form to (313) 843-8948