TIME IS THE ENEMY OF COLLECTIBILITY
 

ONLINE PLACEMENT FORM

When you have an account to place, you can fill in this form and E-Mail, fax or mail the form to us. We will confirm in return that we have commenced collection activity on your behalf.

 

DEBTOR INFORMATION FREE 10 Day Demand Letter   Straight to Collection

Company Name: 

Address: 

City:  Prov/State:  Postal/Zip: 

Contact: 

Tel #:  Fax #: 

Amount of Debt 

 

PLEASE FILL IN YOUR INFORMATION:

Company Name: 

Address: 

City:  Prov/State:  Postal/Zip: 

Contact:  Title: 

Tel #:  Fax #: 

E-Mail: 

Comments:

We will send an acknowledgement within 1 business day.