Your Full Name
*
Your Position/Title
Your Company Name in Full (e.g. John Smith t/a ABC)
*
Your Full Address
*
Address Line 2
Town
County
Postcode
*
Your Contact Email
*
Your Contact Telephone No.
Who Is Cheque Payable To, for Recovered Debts
Full Name of Debtor
Company Debtors: Full Name of Main Contact & Position
Debtors Company Name
Debtors Full Address & Postcode
Debtors Contact Telephone No.
Debtors Email Address
Invoice Details: Date(s), Number(s), Amount(s) - Please also provide copies of all invoices or statements, either by email or attach files below:
Does the above amount(s) include VAT?
Please attach copies of all invoices / statements.
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Interest/Other Charges. Please provide copy of signed contract by email, or attach files below, or state "None".
*
Please attach copy of signed contract.
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Any Reasons Given for Non-Payment?
Any Other Comments
How did you hear about Kings Ransom
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