Pan American Credit Solutions, Inc. - Account Placement Sheet

HOME
SERVICES
	Commercial Credit Reports Credit Contracts Collection/Recovery of Export Receivables Outsourcing of the Accounts Receivable Administration Brokerage of Receivables Insurance Pricing Structure
COMPANY
CONTACT US
	Phone Numbers Address E-Mail

Account Placement Sheet

A representative of Pan American Credit Solutions will contact you to confirm authorization to act as your agent for collection -- including contacting your debtors, accepting and endorsing payments for deposit, and remitting net proceeds to you -- before we proceed. Thank you!

Please e-mail any questions to info@panamericancredit.com

Click here to download the printable version.
(Microsoft Word format)

Current PACS Clients may enter their Client Name only below.

Your Information
	Are you a client of Pan American Credit? Yes No
	Client Name:
	Current PACS Clients may click here to skip Company Infomation.
	Contact Person :
	Company:
	Address 1:
	Address 2:
	City:
	State/Province:
	Zip/Postal Code:
	Phone:
	Fax:
	E-mail:

Debtors Information
	Company:
	Client #:
	Address 1:
	Address 2:
	City
	State/Province:
	Zip/Postal Code:
	Contact Person:
	Phone:
	Fax:
	E-mail:
	Please indicate if you have a contract or credit application allowing for additional costs such as interest and collection fees. If so what amount can be added to the principal due.
	Principal Amount Due:
	Interest and/or collection fees:

Account Summary
	How many accounts will you be placing with us today?

	Invoice:	Date:	Amount:






	How would you like us to handle your accounts?
	Maximum Effort	Normal Efforts	Go easy - We would like to keep them as a client if possible.

	Total Amount Due:
	Last Payment:
	NSF Checks :
	Client Description:
	Debit Balance Description:
	Type of Products, Services Sold:
	Comments, Dispute Reason for Non-Payment, Etc.:
	Please send copies of the following: Statement/ Invoices Contracts Credit Applications Bank Information Personal Guarantee Bad Checks Judgments

HOME

SERVICES

COMPANY

CONTACT US