POB 6809 Knoxville, TN 37914-0809
Phone 865.546.0456 or 877.646.6226
Fax 865.525.6908
ACCOUNT PLACEMENT FORM
Debtor:
Amount:
Address:
Date of Last Sale:
City, State, Zip:
Telephone Number:
Party to Contact:
Title:
Banks With:
Business Status
LLC
Sole Owner
Corporation
Partnership
Other
Name of Principals
Or
Partners
Attachments
Statement
Credit Application
Personal Guaranty
Invoices
Remarks
After an account has been received for collection, all payments received will
be subject to published rates or prior agreed upon rates.
Creditor
Telephone
Address
By
Date
We agree to notify NACMET promptly of any payments or responses from debtor.
NOTE: Collection Fees may be recoverable if certain requirements are met.
Call NACMET Collection Department for details.
