Board Member:
The Texas Commercial Collection Agency Assoc.
Commercial Applicant Inquiry
Please use the form below to request
our inquiry on a legitimate business applicant. We must have a
valid copy of the credit application in order to fulfill this
request, without exception.
If you are a current client
utilizing our commercial debt collection services, we may provide
this service as a free value-added service dependent upon active
volume or value of accounts placed If you're not our client
yet, we'd welcome the opportunity to demonstrate our debt collection
expertise if the need exists. Otherwise, our fee for this
service is $125.00 per applicant inquiry. You may submit up to
5 inquiries per form.
*Required Fields
Client Info
Client Status*
Not
A Current
Client
Current
Client
Client Company*
Contact Name & Title*
Contact Phone*
x
Contact Fax*
Street Address*
City, State/Province,
Zip/Postal Code*
Country/Region
Email Address*
Industry
Goods & Services
Applicant 1 Info*
Company Name*
Contact Name,
Title*
Street Address*
City, State, Zip*
Phone*
x
Fax
E-Mail Address
Credit Amount
Requested*
Comments
Personal Guarantor?
YesNo
Last
Applicant?
If this
is the last applicant, please scroll down and submit. Otherwise please continue with
the 2nd applicant's info.
Applicant 2 Info*
Company Name*
Contact Name,
Title*
Street Address*
City, State, Zip*
Phone*
x
Fax
E-Mail Address
Credit Amount
Requested*
Comments
Personal Guarantor?
YesNo
Last
Applicant?
If this
is the last applicant, please scroll down and submit. Otherwise
please continue with the 3rd applicant's info.
Applicant 3 Info*
Company Name*
Contact Name,
Title*
Street Address*
City, State, Zip*
Phone*
x
Fax
E-Mail Address
Credit Amount
Requested*
Comments
Personal Guarantor?
YesNo
Last
Applicant?
If this
is the last applicant, please scroll down and submit. Otherwise
please continue with the 4th applicant's info.
Applicant 4 Info*
Company Name*
Contact Name,
Title*
Street Address*
City, State, Zip*
Phone*
x
Fax
E-Mail Address
Credit Amount
Requested*
Comments
Personal Guarantor?
YesNo
Last
Applicant?
If this
is the last applicant, please scroll down and submit. Otherwise
please continue with the 5th applicant's info.
Applicant 5 Info*
Company Name*
Contact Name,
Title*
Street Address*
City, State, Zip*
Phone*`
x
Fax
E-Mail Address
Credit Amount
Requested*
Comments
Personal Guarantor?
YesNo
Please review your information
for accuracy, then click "Submit" below.
