National Credit Managers Association

Client Name *

Accounts place into collections are accepted by: E-Mail, Fax, Phone, and On-Line for immediate attention.

* Retain A Copy For Your Record *

Client Contact Name / Your Name *

Amount Owed *

Toll Free

1-888-557-9600

E-Mail

info@ncma.net

Debtor Address *

Client Address *

Debtor Name *

Debtor Telephone Number/s *

Client Telephone Number/s *

Debtor E-Mail Address/s *

Recommendations and Remarks

National Credit Managers Association

Client E-Mail/s *

Collection Account Placement Form

NATIONAL & INTERNATIONAL - CORPORATE COLLECTION SERVICES

Principle or Person to Contact *