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Dunstone welcomes the opportunity to be of service to you!  A Dunstone representative will contact you by the next business day for an introduction and to set up your account.


Please NOTE an asterisk (*) denotes required information
Company Name (if applicable)
 
Primary Contact *
 Primary Contact Phone *
 Primary Contact Email *
 
Alternate Contact
 Alternate Contact Phone
 Alternate Contact Email
 
Street Address *
 
City *
 State *
 Zip Code *
 
Please tell us about your organization and collection needs.

  1. What is your company's industry, product, or service?


  2. Who are the majority of your delinquent customer accounts?
    Business Individual


  3. Where are the majority of your delinquent customers located?
    Local Regional National International


  4. When do you consider a delinquent account a problem?
    < 1 Month 1 Month 2 Months 3 Months 4+ Months


  5. When do you normally charge-off bad debt?
    1-2 Months 3 Months 4 Months 5 Months 6+ Months


  6. Approximately, how many accounts per month are A/R problems?
    1-10 11-25 26-50 51-100 101+


  7. What is the average balance past due for your problem accounts?
    < $100 $101 - $1000 $1001 - $5000 $5,001 - $10,000 $10,001+


  8. Which credit cards can you accept from you customer as payment on a past due balance? Check all that apply.
    Visa Mastercard American Express Discover


  9. Please indicate which delinquency fees are included in your customer contract:
    Collections   Specify:
    Late   Specify:
    Interest   Specify:
    Legal   Specify:
    Returned Check   Specify:
    None or N/A  

  10. How did you first learn of Dunstone Financial, L.L.C.?
    Sales Call World Wide Web Ad
    Referral from?

    11. Other Source:   
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