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  • Please fill out the form below if you are a new client seeking information from Accounts Receivable Outsourcing Services (AROS)
General Information
Your Name
Company Name
Address
City, State Zip ,  
Phone:    Fax
E-Mail
Contact Me About: Debt Collection     A/R Outsourcing   
Aged Accounts     Pre-Collection Service
Client Information
ID / Account #
Amount Due$
Debtor Full Name

Spouse Information

Full Name
Work Number
Address
City, State Zip ,  
Debtor Information
Previous Address
City, State Zip ,  
Phone Number
Work Number
Reference:
Ref Phone Number
Employer
Employer Address
City, State Zip ,  
Phone Number
Date Of Service
Day Of Birth
Services Rendered
Social Security #
Name of Bank
Account #
Debtor's Attorney Name
Att. Phone Number
Questions / Comments:
 
   
Accounts Receivable
Outsourcing Services (AROS)

PO Box 866
Goshen, NY 10924
Phone: 845.342.0070
Toll Free: 800.767.5007
email:  cdsales@collectdebt.com
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