Online Placement

This placement will be subject to the terms of agreement established when your company was signed up.  If you do not have an agreement with our company, Please call Leslie toll free at 888-348-7469 to get signed up and receive a special placement rate!

The account entered below has been assigned to Service Investment Collection Agency and any payments received are subject to our fees.  Any payments received by your office should be reported to us immediately.  On accounts requiring legal work, our fees will be 50% of all monies collected.


Debtor Information:

Mail Return?:
Cell Phone: 
Employer Name: 
Employer Phone:
Date of Birth:      
Name/Phone of Relative or Friend (Specify):
Account Information:
Account Number:
Balance Due:       
Contact Name:      
Early Termination Fee:      
First Date of Service:      
Last Payment Date and Amount:      
Last Change Date:        
Creditor Information:
Creditor/Company Name: 
Name of Company Rep:    
Any other information:    

By clicking submit you place this debt with Service Investment Collection Agency, by doing so you assure that you have legal right to assign  this debt. 

After clicking submit, a popup box will appear click ok to continue.



Last modified: September 15, 2009