HDR3

Customer Information


The information on the credit form is required before we can process your request. The information must match the information we have on file for you. If you are not sure what your customer number is, please contact us at 1-800-678-8774.

Please click on the PDF file below and print it out. Please fill out the form in its entirety and do NOT forget your signature. Upon completing the form, fax it to our TOLL FREE fax number 800-537-3297. This number is on the form.

CreditHeaderReleaseForm.pdf

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IMPORTANT NOTE: THESE FILES ARE VIRUS-FREE!!cgi