REFERENCE  LIST

 

Please provide us with reference information of at least three current  customers.

Company Name:                                                                          Phone:

 

Address:                                                                                          Fax:

City:                                                                        State:                         Zip:

Contact Person:                                                        Title:

Principle Product/Service:

I am     am not      a current customer

 

Company Name:                                                                          Phone:

 

Address:                                                                                          Fax:

City:                                                                        State:                         Zip:

Contact Person:                                                        Title:

Principle Product/Service:

I am     am not      a current customer

 

Company Name:                                                                          Phone:

 

Address:                                                                                          Fax:

City:                                                                        State:                         Zip:

Contact Person:                                                        Title:

Principle Product/Service:

I am     am not      a current customer

 

Company Name:                                                                          Phone:

 

Address:                                                                                          Fax:

City:                                                                        State:                         Zip:

Contact Person:                                                        Title:

Principle Product/Service:

I am     am not      a current customer

 

406-024-00   4/12/96

Original to AVL File, 1 Copy to Supplier Diversity Procurement Binder