Place an Account with SB&A

	Online Account Placement
Client Name Address Placed By Telephone Desired Approach Company Name Customer Reference # Address City State Zip Phone Fax Contact Name Contact Title Date of Last Sale Amount Owed Add-ons Placement Total Additional Information	Creditor Information Professional Soft Aggressive Debtor Information
	Please fax your most recent statement copy at a minimum to 877-866-1912. If any additional information is required, one of our sales professionals will be in contact with you. For your security, your computer's IP address is included with the data sent to us. Thank you!