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Collection Listing Form

$50 billTo list a collection, just fill out the following form and submit it to us electronically.

If you wish, you may fax or mail the form to us instead.

No Credit Bureau membership is required to utilize our collection services. We guarantee your satisfaction or you won't owe us a cent!

Your Information:

Name: Company:
Business
Address:
Phone: Fax:
Email:    

Debtor's Information

Name:    
Account
Number:		 Date of Last
Transation:
Address:
City: Postal Code:
Phone #1: Phone #2:
S.I.N.: D.O.B.:
Place of
Employment:		 Spouse's Name:
Interest Rate: Balance Owing:
Date Last
Calculated:
Additional
Information:


Credit Bureaus of NWO Collections Inc
1135 Roland Street, P.O. Box 10519, Thunder Bay, Ontario P7B 6T9
Tel: (807)623-2833, Toll Free: 1-800-465-4228
Fax: (807)623-9076 E-mail: credit@tbaytel.net