Worldwide Collections

Submit Accounts

Client Login
Please Login to access your accounts & reports

If you are a current client and desire to monitor our progress or obtain reports instantly, please fax your request to (512)879-1622 

Place Accounts
Click here to place your
business-to-business accounts with us for immediate collection.

 

New Account Placements

Please use the form below to submit up to 5 new accounts for immediate collection.  Our efforts on your behalf will commence promptly upon receipt of your account information.

If you prefer to submit your debtor accounts information via an Excel spreadsheet or CSV file, please click here and send your file attachment by email.  After sending the file, please complete the "Client Info" section below and submit

*Required Fields

Client Info  
Client ID* New Clients please enter "New"
Client Company*
Contact Name & Title*
Contact Phone* x
Contact Fax*
Street Address*
City, State/Province, Zip*
Country/Region*
Email Address*
Industry
Goods & Services
Debtor 1 Info*
Company Name*
Contact Name, Title*
Street Address*
City, State/Province, Zip*
Country/Region
Phone* x
Fax
E-Mail Address
Debt Description*
Excuse for Nonpayment
Amount Owed*
Aging Start Date mm/dd/yyyy
Personal Guarantor? Yes No
Last Debtor ? If this is the last debtor, please scroll to the bottom of this form to submit.  Otherwise please continue with 2nd debtor info.
Debtor 2 Info*
Company Name*
Contact Name, Title*
Street Address*
City, State/Province, Zip*
Country/Region
Phone* x
Fax
E-Mail Address
Debt Description*
Excuse for Nonpayment
Amount Owed*
Aging Start Date mm/dd/yyyy
Personal Guarantor? Yes No
Last Debtor ? If this is the last debtor, please scroll to the bottom of this form to submit.  Otherwise please continue with 3rd debtor info.
Debtor 3 Info*
Company Name*
Contact Name, Title*
Street Address*
City, State/Province, Zip*
Country/Region
Phone* x
Fax
E-Mail Address
Debt Description*
Excuse for Nonpayment
Amount Owed*
Aging Start Date mm/dd/yyyy
Personal Guarantor? Yes No
Last Debtor ? If this is the last debtor, please scroll to the bottom of this form to submit.  Otherwise please continue with 4th debtor info.
Debtor 4 Info*
Company Name*
Contact Name, Title*
Street Address*
City, State/Province, Zip*
Country/Region
Phone* x
Fax
E-Mail Address
Debt Description*
Excuse for Nonpayment
Amount Owed*
Aging Start Date mm/dd/yyyy
Personal Guarantor? Yes No
Last Debtor ? If this is the last debtor, please scroll to the bottom of this form to submit.  Otherwise please continue with 5th debtor info.
Debtor 5 Info*
Company Name*
Contact Name, Title*
Street Address*
City, State/Province, Zip*
Country/Region
Phone* x
Fax
E-Mail Address
Debt Description*
Excuse for Nonpayment
Amount Owed*
Aging Start Date mm/dd/yyyy
Personal Guarantor? Yes No
Client Services Agreement* Please read & check here to indicate your Agreement w/terms

Our Services Agreement

We look forward to serving you.  Our efforts on your behalf will commence upon your submission of this account placement, and receipt of your signed agreement.  If we have already received your signed agreement, thank you.  Otherwise, please click here to print this form, fill in blanks, sign and fax to our office at 1-888-FAX-MRG4 (329-6744).