Parson-Bishop Services, Inc. - Greek Account Submission

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“We have received excellent collection results at a very low cost for over 25 years. We would definitely recommend Parson Bishop to any company that needs help with their receivables.”

—	Trade Show Exhibition
	Services, OH

Serving Clients,
Nationwide,
Since 1973

	Value Collection Plan Account Submission Form

Please use this form to submit accounts for collection

If you choose to fax this form, CLICK HERE for the PDF (requires Adobe Acrobat Reader)

CLIENT INFORMATION


Date Assigned
P·B Client # (if available)
Fraternity/Sorority Name
Fraternity/Sorority Chapter
Person to Contact
Phone
Address
City
State
Zip

The Value Plan offers you the opportunity to collect for a flat fee of $16.50 (Phase I). All payments will be paid direct to you in Phase I so it is important to report all payments before the accounts move to Phase II. Please use the Payment Notification Form to report direct payments both in Phase I and Phase II. Social Security number is very important in terms of final recovery; please provide if available.

DEBTOR INFORMATION


Debtor (Brother/Sister) Name
Total Amount Due $
Date of Service
Address (parents if available)
City
State
Zip
Social Security #
Debtor Phone # A/C
Employer Name and Phone (if available)

Brief Description of Debt

CO-SIGNER INFORMATION


Co-signer Name
Co-signer Address
City
State
Zip
Co-signer Phone
Co-signer Social Security # (if available)
Relationship to Primary Debtor

Special Information regarding co-signers: if there is a co-signer, usually the parent/guardian, it is very important to provide this information as the ultimate collection is the responsibility of either the brother/sister or their co-signer. PB staff will attempt collection from both parties so chances of collection are enhanced considerably. If you submit the co-signer information we must have a copy of the signed agreement with your fraternity or sorority (attach to the account assignment form).

Greek Licensed Collection Services Serving Greek Organizations

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