Specifications

Chapter 4. Accounts Receivable
70 Dim11
A/R LOAD FORM
CUST NO_________________________ NAME______________________________________________________
ADDR 1 (PO BOX or ATTN) _________________________________________________________________________
ADDR 2 (STREET ADDRESS) ______________________________________________________________________
ADDR 3 (CITY, STATE) ___________________________________________________________________________
ZIP CODE _____________________________ PHONE______________________________________________
CONTACT__________________________________________ TAX NO____________________________________
CREDIT CONTACT___________________________________ FAX NO____________________________________
CUST NO_________________________ NAME______________________________________________________
ADDR 1 (PO BOX or ATTN) _________________________________________________________________________
ADDR 2 (STREET ADDRESS) ______________________________________________________________________
ADDR 3 (CITY, STATE) ___________________________________________________________________________
ZIP CODE _____________________________ PHONE______________________________________________
CONTACT__________________________________________ TAX NO____________________________________
CREDIT CONTACT___________________________________ FAX NO____________________________________
CUST NO_________________________ NAME______________________________________________________
ADDR 1 (PO BOX or ATTN) _________________________________________________________________________
ADDR 2 (STREET ADDRESS) ______________________________________________________________________
ADDR 3 (CITY, STATE) ___________________________________________________________________________
ZIP CODE _____________________________ PHONE______________________________________________
CONTACT__________________________________________ TAX NO____________________________________
CREDIT CONTACT___________________________________ FAX NO____________________________________
CUST NO_________________________ NAME______________________________________________________
ADDR 1 (PO BOX or ATTN) _________________________________________________________________________
ADDR 2 (STREET ADDRESS) ______________________________________________________________________
ADDR 3 (CITY, STATE) ___________________________________________________________________________
ZIP CODE _____________________________ PHONE______________________________________________
CONTACT__________________________________________ TAX NO____________________________________
CREDIT CONTACT___________________________________ FAX NO____________________________________