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Account Assignment Form


You may print our Assignment Form and fax back to us at (888) 999-7671
PDF Assigmnt Form Download

Or you may fill out our Online Assignment form Below and instantly submit.

2450 White Rd, Suite 200, Irvine, CA 92614. Telephone: 800.977.3342 Facsimile: 888.999.7671

Client
Client Nº:
Company Name:
Address
City
State
Zip
Contact
Email
Phone
Date of Sale
Date of Assignment
 
Client
Document 1:
Document 2:
Document 3:

Customer
Name
Address
City
State
Zip
Contact
Phone
Email
Customer Account Number
Principal Balance

Additional Liable Party / Agency
Name:
Address
City
State
Zip
Email
Contact
Phone

I wish to attempt to keep this customer  Use all necessary action to recover this account

Fees

In addition to achieving superior results for our clients, Global strives to maintain a competitive fee structure in line with prevailing industry standards and trends.

Global operates on a contingency fee basis, whereby if we do not achieve results for our clients, we charge no fee.

Fees on collected accounts may vary depending on several factors, including the type of account assigned, the age of the account, whether or not the account must be litigated, and the volume of accounts placed.

Please submit your account information now and one of Global’s trained representatives will contact you shortly and give you our most competitive rate for your specific situation.

Our System Guarantees Results!
Complete this form and an account representative will be in contact with you shortly. You will need to fax us supporting documents (i.e. invoices, bad checks) before we will pursue your case.

Assigned for Collection by:
 
Name Date
Title    
Comments

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