To List With AgencyCollectors.com Please Complete The Following List Request Form

List Request Form

Firm Description & Web Contact Information
Company Name
Contact
Address
City
State
Country
Zip
800 #
Phone
Fax
Required Item Email
Company Web Address - http://
Required Item 3 Descriptive Lines about Your company
or product.
(This will be displayed with your listing)
Please call customer service at 800-648-1914 for assistance in filling out this form if needed.
 

Required Item Joining AgencyCollectors - $295.00 per year or $29.00 monthly (includes 1 state/country & 1 category)
Please Enter (1) State/Country To List  
Select (1) Category To List:  Commercial Collections Retail Collections Medical Collections Bad Check Recovery 
Skip Tracer Receivables Outsourcing Related Services Preferred Collection Attorneys

Add Additional States/Countries or Categories: $100.00 per year (Category comes free with each additional state/country chosen)

Subtotal: $295.00 First state/country & category listing plus states/countries or categories additional @$100.00 each.

Total $295.00 plus for additional states/countries & for additional categories

 = Grand Total of

Payment Terms: Pay via credit card or check (grand total) upon submission of form. 

Pay via credit card ($29.00 for first state/country/category & $10.00 each additional state/country/category)

 = monthly for 12 months

* All Listing Fees are due upon receipt of invoice. *

 
Required Item Banner Advertising - 234X80 State Banner Ad - $59.00 per month per banner ad via credit card for 12 months
Choose State/Country For Banner Choose Category For Banner

Add Additional States/Countries or Categories (Category comes free with each additional state/country chosen)

Subtotal: $59.00 first banner ad plus additional banner ads for states/countries or categories selected @$59.00 monthly
 = Total Monthly Charge To Credit Card
Client will supply banner to AgencyCollectors via email to contact@agencycollectors.com 
Client wishes for AgencyCollectors to create banner ad (static only) for $100.00 flat fee per ad. Supply ad info to same email address.
(if selected above, add $100.00 for the creation of each banner ad to initial monthly charge to credit card)
Payment Terms: Pay Via Credit Card Total Monthly Charge for 12 months
 plus banner ads created at $100.00 each =
= Grand Total Initial Charge To Credit Card   

Required Item Section A.) All AgencyCollectors.com listings and banner ads are for a 12 month duration of time from the date submitted. Your listing and/or banner ad will be automatically renewed for an additional 12 month period on the renewal date unless AgencyCollectors.com receives a 30 day notification of cancellation prior to the renewal date. To send a cancellation request, please send to AgencyCollectors.com, P.O. Box 760, Boca Raton, Florida 33429. Should you have any questions regarding this listing and advertising agreement, please contact our Florida office at 800-648-1914. 
 
 Terms of Payment
Please invoice my office and I will pay by check to AgencyCollectors at P.O. Box 760, Boca Raton, Florida 33429 
upon receipt of invoice.

              I would like to pay by: credit card  
  Credit Card Information
Name on Card
Address (address where credit card bill goes to)
City
State 
Zip  
Type  
 Card Number  
CV2 Code   (3 or 4 digit security code on front or back of card)
Date of Expiration   (MM/YYYY ex: 08/2010)
 
I understand the terms of this agreement as documented in section A above and hereby authorize my agency listing. 
 

 

If you need assistance in completing the listing form, just send e-mail to:
contact@agencycollectors.com
THANK YOU.

contact@agencycollectors.com

 1-800-648-1914 Toll Free