Submit an Account for Collections

BARR Credit Services is interested in helping you to place an Account. Please either call us Toll Free at (877) 654-1234 or please complete the following form and one of our representatives will contact you:

Your Name: (required)

Your Company Name: (required)

E-mail Address: (required)

Your Phone Number: (required)

Debtor Company Name: (required)

Debtor Address: (required)

Debtor City: (required)

Debtor State:(required)

Debtor Zip: (required)

Debtor Phone Number: (required)

Balance Due: (required)

Date of Last Sale/Service: (required)

In order to verify that this is a valid request, please answer the following question: