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 effective  

debt collections
client services

credit control
insolvency

Tel 01733 755001 Fax 01733 755003 office@effectivecc.co.uk

Request for collection action form
About you
Your company name
Your name
Position in company
Telephone number
 Your email address
 Confirm your email address
   
About the debtor
Debtor's name 
(including trading name if different)
Address
Telephone number
 
About the debt
Total amount due
Due date for payment
Please provide Effective with a statement of account and/or copy invoices asap. Fax number 01733 755003
 
Any additional information relevant to the claim
 

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