GLOBAL ASSET SERVICES, INC. 
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Additional Information Request for an Existing Client
To better serve you, GLOBAL ASSET SERVICE, INC.

 requests that you complete the information on the form below.  Thank you!

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General Information
Your Name
Company Name
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:
 
   

GLOBAL ASSET SERVICES, Inc.
PO Box 866
Goshen, NY 10924		 Phone: 845.342.0070
Toll Free: 800.767.5007
email:  cdsales@collectdebt.com
| Home Page | Mission Statement | About Us | Additional Benefits | Professional Services | Debt Collection |
| Judgment Collection | A/R Outsourcing | Industry News | Contact Us |
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Questions or issues regarding this web site should be directed to pgrald@collectdebt.com