SMB Client - Website Debt Referral

Authority To Act

You can submit your debt for a single customer or multiple customers using this form.

A once off Start Fee of $285 is payable before we start the collections process. You only need to pay this fee once, so if you refer more debt in the future, you won't need to pay it again. This will be paid via Direct Debit from your bank account.

Commission will only be charged on successful collections. No collection = no fees.

Commission charged tiered structure based on the age of the overdue invoice / debt.

Debt less than 90 days overdue = 12%
Debt 90 days up to 2 years overdue = 15.5%
We don't accept debt referrals older than 2 years.

If you have any questions, please contact us at:

client@collect4u.com.au

07-5658 0500
Your Business Details

Please provide some basic details about your business in order for us to better understand your product or services and how the debt was incurred.
Website Address / Business Name*
ABN / ACN*
Contact Person*

First & Last NamePosition / Role in the business
Phone Number*
Your mobile / landline
Your Email*
example@example.com
Pay the $285 start fee via*

Direct Debit from your bank accountPay with Credit Card
Bank details for direct debit of $285

Bank Account NameBank Account NumberBSB
For secure payment via credit card, hold "Ctrl" on your keyboard and click below link to open in a separate screen / tab.

CLICK HERE
Do you want to submit unpaid invoices for*

Business CustomerIndividual CustomerMultiple Customers

Refer Business Customer

You can submit 1 or multiple invoices for a Single Business Customer on this page.
Your Customer's Details

Business NameABN / ACNContact Person at the business
Your Customer's Contact Information

Mobile / Landline Email Address
Upload outstanding invoice / Excel spreadsheet

Browse Files

Cancelof

Refer Individual Customer

You can submit 1 or multiple invoices for a Single Individual customer on this page.
Your Customer's Details

First & Last Name2nd Person responsible for debt
Your Customer's Contact Information

Mobile / Landline Email Address
Address

Street Address

Street Address

CityState

Post Code
Upload outstanding invoice/contract/ supporting information

Browse Files

Cancelof

Refer Multiple Customers

You can submit multiple customers invoices or an Excel spreadsheet / software extract file. If you need any help with extracting files from your currrent finance / accounting systems, please get in touch. We can also provide you with a template to use.
Your Customer's Details
Number of Customers submitting
Upload outstading invoice / Excel spreadsheet

Browse Files

Cancelof

Authority to Act

You hereby give us authority to act on your behalf and agreeing to Collect 4U standard terms & conditions, as well as the fee schedule.

Once off Start fee of $285 needs to be paid prior to Collect 4U starting any work on your submission. Commission will only be charged on successful collections. No collection = no fees.

If you have any questions, please contact us at:

client@collect4u.com.au

07-5658 0500
Today's Date

MonthDayYear
My Signature (Use your mouse or finger to sign)*

Clear
On-charge Our Commission

Did you know that we can add our commission on top of the outstanding debt, which means your customer pays our fee... and you get the full balance paid?

Upload a copy of your business terms & conditions, so that we can check if your business is set up for this. If not, we can assist you on how to get this in place for future customers.
Upload Your Business Terms & Conditions

Browse Files

Cancelof
Should be Empty:

Authority To Act

Your Business Details

Refer Business Customer

Refer Individual Customer

Refer Multiple Customers

Authority to Act

On-charge Our Commission