Consumer Debt Online Placement Form

We understand the importance of providing a fast, reliable and secure method of listing your accounts for quick recovery. Listed below is an on-line placement form designed to be hassle free. This form is used for placement of Consumer Debt and Pre-collect.

Please provide all the appropriate data in the space provided. When you have finished entering the data, please click the appropriate action you wish us to take, then press “Send Message”.

Client Information

Consumer Information

Type of good or serviceprovided for billing be specific:

Special Instructions:

Appropriate Action to Be Taken:

Billing

Pre-Collect

Collections

Please Confirm My Placement:

Fax

Mail

Phone: (800) 678-5166
Phone: (701) 775-5166
Fax: (701) 775-5570

Address:
PO BOX 13225
GRAND FORKS, ND 58208-322

Hours:

Mon-Fri, 8:00AM - 5:00PM