Credit Reference Worksheet    The information entered here is for UniMinds Media LLC accounting departments use only. UniMinds Media LLC does not share this data with third party verification sources nor do we perform any electronic or automated verification from this data. Please be a specific as possible when completing this form. All fields must be filled in for it to be accepted by UniMinds Media.     Company Name:     Company Address:     Company City:     Company State:     Company Zip:     Accounting Dept. Tel:            Bank Name:     Bank Address:     Bank City:     Bank State:     Bank Zip:     Bank Phone:     TaxID:            Trade Reference 1:     Reference 1 Tel:     Trade Reference 2:     Reference 2 Tel:     Trade Reference 3:     Reference 3 Tel:            Your Email: