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Merchants Financial Guardian, Inc.

California Debt Collector License # 10971-99

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Mission Statement
Rates
Collection Flow Chart
Placement Form
Terms & Conditions

Placement Form

published by Anonymous on Sat, 11/10/2018 - 16:17

CLICK HERE FOR PRINTABLE FORM

Priority:

Immediate Action

10 Day Free Demand

Company Name: *

Contact Name: *

Address: *

City: *

State/Prov.: *

Zip Code: *

Country: *

Phone Number: *

Fax Number:

Email: *

Debtor Information

Company Name: *

Contact Name: *

Address:

City:

State/Prov.:

Country:

Phone Number:

Fax Number:

Email:

Invoice Date:

Month

Day

Year

Last Payment Made: $

Total Amount Assigned: $

NSF Returned Check:

Yes

No

Entity Type (if known):

Sole-Prop

Partnership

LLP

Corporation

LLC

Contract Type:

Written

Oral

Purchase Order

Delivery Receipt

Custom Order

Special instructions:

Merchants Financial Guardian, Inc.
1215 W. Imperial Hwy, Suite 105
P.O. Box 248
Brea, California 92822

Phone: (714) 680-8345
Fax: (714) 870-0352
Sales Info: sales AT mfgcollection.com
Merchants Financial Guardian, Inc. © All right reserved 2018

California Debt Collector License # 10971-99

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