Name*



Email Address*



Phone Number*



Company Name*



Job Title



Address



City*




State*
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Zip*



Approximately, how many past-due accounts does your business currently have?*



What is the average past-due balance on your currently delinquent accounts?*



What is your current in-house process for collecting slow-paying/delinquent accounts?



When do you become concerned about past-due accounts?
30-6060-9090-120120-150


When do you typically refer accounts to a collection agency?
30-6060-9090-120120-150


Other Questions / Comments?