MAKE A PAYMENT  

WHEN TO PLACE ACCOUNTS FOR COLLECTION

PLACE AN ACCOUNT

LISTING FORM
(in Word format)

View our Brochure

WELCOME TO CENTRAL CREDIT CONTROL LTD.

Place an Account


Please either complete the following form for online submission,
or download, print, and complete the .pdf form and return it to Central Credit Control Ltd.

Customer Information:

Your Company Name:

Address:

City:

Province\State:

Postal Code:

Telephone Number:

Fax Number:

E-mail Address:
 

Debt Information:

Date of Debt:

Account Number:

Principal Amount:

Interest:

Total Due:

Debtor Name:

Address:

City:

Province:

Postal Code:

Home Telephone:

Business Telephone:

Telephone: (cell)

Nature of Debt or Comments

DL#

Employer

SIN#

D.O.B: (MM/DD/YY)

This list of accounts is placed for collection on the understanding that the Terms and Conditions apply. Use of this listing sheet and subsequent listings, however received, constitutes acceptance of Central Credit Control Ltd. Terms and Conditions.


Members logos

Central Credit Control Ltd, 150 Dunlop Street East, Suite 202, Barrie, Ontario L4M 6H1 (705) 734-1400.
Toronto: (416) 277-8463, Sudbury (705) 665-4669, Toll Free 1-877-222-9876


Copyright ©2007 Central Credit Control LTD.

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