Submission Form

Client Services Form

 

Please supply your contact information and information on up to two debtors.
If you are submitting more than two accounts for collection, simply fill in a subsequent client service form.
We will contact you shortly after receiving the information.

NOTE: By submitting this form below you agree to T & S Collections Ltd.’s Contract. To read the Contract please click here.
Your Information

Your Company Name

Company Phone Number

Company Fax Number

Company Address

City, Prov, Postal Code

Contact Person

Contact Email

 

Debtor #1 Information

Debtor Company Name

Debtor Personal Name

Debtor Address

City, Province, Postal Code

Home Phone Number

Cell Phone Number

Work Phone Number

Place of Employment

Amount Due

Date Debt Incurred

Date Last Paid

Other Info

 

Debtor #2 Information

Debtor Company Name

Debtor Personal Name

Debtor Address

City, Province, Postal Code

Home Phone Number

Cell Phone Number

Work Phone Number

Place of Employment

Amount Due

Date Debt Incurred

Date Last Paid

Other Info

 

Debtor #3 Information

Debtor Company Name

Debtor Personal Name

Debtor Address

City, Province, Postal Code

Home Phone Number

Cell Phone Number

Work Phone Number

Place of Employment

Amount Due

Date Debt Incurred

Date Last Paid

Other Info

 

NOTE: By submitting this form below you agree to T & S Collections Ltd.’s Contract. To read the Contract please click here.

Comments are closed


  • We set a high standard for collection service efficiency by using our knowledge and experience, in conjunction with a burning desire to succeed.