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Principal*

CompanyPrivate client

Company Name*

Business-ID*

Contact Person*

Bank account number for billing in IBAN*

Please choose a bank*

Address*

Postcode*

City*

Phone number*

Email*

The Debt is based on a contract
At least one payment reminder has been sent for a claim*
I declare that the claim is uncontested and that the debtor has not made any complaint about the claim

Please check our General terms and conditions for fast debt collection services and Service description and pricing

Please check our

General terms and conditions for fast debt collection services

Service description and pricing

I have read General terms and conditions for fast debt collection services, Service description and pricing and I accept them*

SUBMIT YOUR ASSIGNMENT DIRECTLY ELECTRONICALLY

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