American Eagle Bank Reference Response Form

Bank Reference Response Form
To The Bank Officer Contact:

Per the Reference Authorization provided to you for the company or account contact named below, please e-mail the requested account and credit information to accounting@americaneaglemachine.com or fax to 773-376-2010
Your Customer's Company Name*
Authorized Officer / Contact Name*

First NameLast Name
Your Customer's Contact E-Mail*
example@example.com
Company Contact Phone Number*

Area CodePhone Number
Regarding the company or account contact named above, has there ever been a history of Returned Checks?

YesNo
Please indicate your bank's Credit Rating for the company or account contact named above:

ExcellentGoodFairPoor

DATA REPORTED FOR ACCOUNTS LISTED*

PLEASE FILL OUT INFO REGARDING ACCOUNTS LISTED ABOVE - Use N/A If Not Reporting*