                            ENTERLINK TECHNOLOGY
                          CREDIT REQUEST FORM 1.0
                                P.O. BOX 269
                        SAN BERNARDINO, CA 92402-0269
                             (800) 659-6516 VOICE
           "SYSOP PLEASE CALL AND GET CURRENT FAX NUMBER TO PLACE HERE"


I give EnterLink Technology, Inc. and "PUT YOUR BBS NAME HERE" permission to 

run credit report(s) on ^_______________________________________.  I understand

that the credit report that I receive is to be used for legal purposes and

that I will not add, change, delete any of the information on my credit report.



First Name:_____________________________  Last Name:_________________________

Middle Intial:______  Birth Date:_____/_____/____  SSN:______-______-________

Street Address:______________________________________________  Apt:__________

City:__________________________________   State:_____________  Zip:__________

Home Phone:____________________________   Work Phone:________________________

Previous Address if less than 2 years from above address

Street Address:______________________________________________  Apt:__________

City:__________________________________   State:_____________  Zip:__________

Occupation:____________________________


  State ID   Or Driver License Picture Here
  __________________________________________
  |                                        |
  |                                        |
  |                                        |
  |                                        |
  |                                        |
  |                                        |
  |                                        | 
  |                                        |
  |                                        |
  |                                        |
  |                                        |
  |                                        |
   -----------------------------------------


By signing below you swear under the law of purgery that all information is 
above is correct. 

____________________________________________      ______________________
               Sign                                          Date



PAYMENT TYPE: VISA ( )  MASTERCARD ( )  COD ADD $5. FOR SHIPPING ( )
 
 NAME AS IT APPEARS ON CARD:___________________________________________________

 MASTER CARD:__________________________________________________________________

   EXP. DATE:______________



ID#:"SYSOP PLEASE PLACE THE ID# THAT ENTERLINK GIVES YOU HERE"



DO NOT SIGN OR TYPE BELOW OF THIS LINE.
-------------------------------------------------------------------------------

DATE RECEIVED REQUEST:_________/__________/____________

REPORT GENERATED BY:___________________________________

BBS ID#:"PUT YOUR ID NUMBER HERE"
