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: