800-714-9430 Ext 3 Toll Free  
 

COLLECTION INQUIRY FORM 

 Florida Member: Jeffrey J. Needle, Esq.

 Law Firm: The Needle Law Group

Company Name:  

Contact:  

Address:  

Address:  

City:  

State:  

Zip:  

Country:  

Phone #:  

Fax#:  

Email Address:  

Website Address:  

 Comments or Questions:  

Information On Receivables You Wish To Place For Collection
 

Total Debt To Place  

 Number of Accounts  

Description of Debt  

Average Placed Monthly  

Average Age of Debt  

 

     National Board of Collection Attorneys - 72 Marsh Oak Drive, Brunswick, Georgia 31525 - 800-714-9430 Ext 3 Toll Free

 

Your Future Success

 Our Primary Focus

 

Copyright 2011-2017 National Board of Collection Attorneys (NBCA). All Rights Reserved.

 

a subsidiary of