Information Required to List an Account for Collection



About You:
 
  • Company Name and Contact
  • Current Address
  • Telephone and Fax Numbers

About the Debtor:
 
Minimum:
  • Debtor Name or Company Name and Contact
  • Date of Last Purchase
  • Amount for Collection
  • Telephone Number / Fax Number

Better:
  • Complete Address (is it still a good address?)
  • NSF Cheque Experience, What Bank & Branch?
  • Alternate Phone Numbers
  • Names of Principals
  • Personal Guarantees
  • Most Recent Statement

Best:
  • Bank Information
  • Credit Application
  • Contract (if applicable)

New Business Listing Form        
To print a copy of this form click here.
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From:     Your Name:   Title:  
Firm Name:   Phone:  
Address:   Email:  
Please accept the following account for your specialized attention and resulting collection. It is agreed that after the date of acknowledgement, we, the creditors, are responsible for the resulting commission charges.
Debtor Info:    
Name:  
 
Address:  
City:   Postal:  
 
Amount
Outstanding:		 Date
Incurred:
 
Phone:  
Fax:
Contracts:  
Employment:
Banks: