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CREDIT CHECK: <br />Customer Legal Name: <br />D&B Listed: ❑ Yes ❑ No <br />Bank Reference: <br />Bank Transit Number (Canada Only) <br />Bank Phone Number (Canada Only) <br />Trade References (List three): <br />Address (Intl. City, State, Zip) <br />1) <br />Tax ID #: <br />If Yes, DUNS#: <br />Account No.: <br />We hereby authorize Cogent Communications to obtain any information from the above references. <br />Signature: <br />Phone # Credit line <br />Date: <br />Version: Jan.'03 <br />