Place your account on-line | EW COLLECTIONS Ltd.

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PLEASE FILL OUT THE FORM IN ORDER TO PLACE YOUR ACCOUNT

Note that the asterisk (*) fields are mandatory

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EW COLLECTIONS Sp. z o.o. - ul. Skarbowców 23a, 53-025 Wrocław, Poland

Hotline: +48 71 758 20 50

Realizacja: Dpl Agency - Projektowanie Stron Internetowych

Creditor's company / name:*
Creditor's address:*
Postal code, city:*
Tax id number:*
Contact person:*
Creditor's email address:*
Creditor's phone / fax:*
Debtor's company / name:*
Debtor's address:*
Debtor's country:*
Debtor's tax id.no.:
Amount due / main claim:*
Currency:*
Basis of the debt (invoices etc.):
Debtor's phone:*
Debtor's fax:
Debtor's email address:
Additional info:
Second placed account? (NO/YES):*
Previous collection result:
How many agencies tried to collect the account:
Kod z obrazka: