Inquiries

MEMBERS OF
   American Collectors Association
   California Collectors Association
   Orange Chamber of Commerce

If you would like to begin the process of collecting a debt or are interested in receiving a proposal for collection of your companies receivables please fill out the form below.


	Please provide the following information regarding your company or yourself.

Company Name:
Address 1:
Address 2:

City:

State:

Zip:

Phone:		Fax:
Alt Phone:		E-mail:
Contact:		Position:


	Please provide the following information regarding your debtor.

Debtor Name:
Company Name:
Address:

City:

State:

Zip:

Phone:		Fax:
Alt Phone:		E-mail:

What is the debt owed for?
When was the debt incurred?

Is account owed by a consumer or a business?

What is the balance owed ?

What type of evidence do you have to support this debt?

IE: signed contracts, invoices, estimates, statements, etc

Comments:


	To send form now


	To clear form


	Press one time only ! ( It will take a few moments to process the form.)

If a reply or confirmation via e-mail or telephone is not received within 36 hours please call or resubmit your request. Thank you, Southwest Collection Service, Inc..


	E-MAIL: swcollsvc@earthlink.net


	1111 E. Katella Ave., Suite 260 • P.O. Box 6349 Orange, CA 92867 • Orange, CA 92863-6349 Phone (714) 532-6651 • Fax (714) 532-1457