| Name
of your Company/Business: |
|
| Postal
Address: |
|
| State:
|
|
Post
Code: |
|
Contact
Person: |
|
Contact
Persons Position: |
|
Contact
Telephone Number: |
|
Contact
Email Address: |
|
What
is the Nature of Your Business?: |
|
If
other please specify: |
|
Are
your Goods and/or Services mainly supplied in your home state?: |
|
If
No which state is you main state of operation?: |
|
How
many Debts do you need collecting right now?: |
|
How
often would you be referring debts?: |
|
How
many debts would you be referring each cycle?: |
|
What
would be the average Debt Amount?: |
|
How
did you hear about Reliance Recoveries Pty Ltd?: |
|
| If
Other please specify: |
|
If
you have the time, can you please tell us some reasons you are
considering using a Debt Recovery Agency or why you are considering
changing Debt Recovery Agencies?: |
|
| Return
contact method: |
|
| |
|
| |
|
