I'd like a FREE QUOTE on the following services:                      

                                                        Commercial Collections

                                                        Consumer Collections

                                                        Billing and Invoice Management

                                                        Legal Forwarding

                                                        Credit Policy Development

                                                        Other (Please Specify)

Do you currently use an outside collections firm?     

                                                        Yes

                                                        No

How often do you use

outside collections?                           Please Select First Time Few Times Per Year Monthly Weekly

Approximately how much debt             

do you need recovered?                     Please enter amount $500-999 $1,000-4,999 $5,000-9,999 $10,000-24,999 $25,000-49,999 $50,000-99,999 $100,000-249,999 $250,000-499,999 $500,000-999,999 More than $1,000,000

Approximately how many accounts             

do you need recovered?                     Please enter value 1-9 10-49 50-99 100 - 499 500 - 999 1,000 or greater

What is the average age of the                

accounts to be recovered?                 Please enter value Fewer than 30 days 30 - 45 days 46 - 59 days 60 - 89 days Greater than 90 days

Please list any additional comments.  

Please provide your company / contact information:

Business Name           

Contact Person            

Phone                         

Email Address             

Confirm Email Address 

City                             

State                            AL AK AS AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Country                        

Please send me a FREE CD Resource Guide:

                                              Yes!

SB&A  may contact me via:

                                              Email

                                              Phone