Place Your Collection Accounts with MRG!

Simply fill out the form below to place your accounts for immediate collection. You can also upload your own spreadsheet, document or click here and use our template. If you have any questions, please call us at (512)-275-6412.

Client Information (Your Information)Company NameContact First NameContact Last NameHave you placed collection accounts with MRG before?Your Email AddressYour Phone NumberYour Client # with MRG (if applicable and available)Debtor Information (Company To Collect From)
Debtor Business NameDebtor Contact Name and Title (if known)Debtor Phone #Debtor EmailDebtor Street Address

Suite, Building # Unit # as applicable

City

State

Zip Code

Debt InformationClient Account/Reference #Date of Most Recent InvoiceYour Suggested Collection Approach?Amount of DebtCurrencyPlease Check if Also ApplicableWe have a signed Personal Guarantee or Promissory NoteWe have the Guarantor's SSNComments

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