DUNS Application Reports Form - Excelsior Solutions Corporation

D-U-N-S^®/ Number Request Form

A D-U-N-S^® Number, also known as a Data Universal Numbering System is a unique 9-digit number issued to companies by Dun & Bradstreet to help companies to start establishing their credit worthiness.

The D-U-N-S Number is used by customers, vendors and suppliers who want to review your company’s business credit file to determine how much credit they would like to extend, if any. Bank’s may also ask for the company’s D-U-N-S Number when applying for a Business Loan or a Business Credit Line to determine your approval.

Please complete the form bellow to order your D-U-N-S Number:

Select Delivery Time

Company Details

Company Name

Physical Street Address City

Province Postal Code

Email Address Telephone (Optional)

Fax Number (Optional) Company Website (Optional)

Is the Mailing Address Different than the Shipping Address?

Yes No

Mailing Street Address Mailing City

Mailing Province Mailing Postal Code

Operating Details

When did your business start? Legal Structure Number of Employees (Including Principals)

Line of Business

If you have selected Corporation, Public Company or Partnership, please see below

Province of Incorporation Incorporation Date Federal Incorporation?

Name of Officers/Shareholders Title Stock Ownership (%)

If your business is a partnership, please list all partners

Is your business owned by another company? (If yes please complete below)

Yes No

Percent of Ownership Parent Company Name

City/Province Line of Business

Other Branches/Subsidiaries

Does your Company have Branch Location?

Yes No

Branch Address Number of Employees at Branch Line of Business

Does your company have any Subsidiaries?

Yes No

Subsidiary Name City/Province Line of Business

Other Information (Use this section to provide additional information regarding the business)

Full Name Delivery Email Address

I agree that all information has been checked and is correct

Please verify that all information entered in the form above has been entered correctly. Once a D-U-N-S report has been ordered it cannot be changed. Please note that once this form is submitted the fee is Non-Refundable.

Your data has been submit successfully. Thank you!

Please note the following processing times:

Canadian D-U-N-S can take up to 30 Business Days
Expedited Canadian D-U-N-S can take up to 10 Business Days

** D-U-N-S is a registered trademark owned by Dun & Bradstreet