Appoint a Commercial Agent or Debt Collector

Home » APPOINTMENT OF A COMMERCIAL AGENT

Full Name(Required)

Company Name(Required)

Business Name(Required)

ACN

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ABN(Required)

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Registered Office(Required)

Trading Address

Postal Address(Required)

Business Telephone(Required)

Website

What bank account would you like us to transfer recovered monies to, once cleared through our trust account?

Account Name(Required)

Bank & Branch

BSB(Required)

Account Number(Required)

Privacy Statement

The Agent adheres to the Privacy Act 1988 (as amended) and the new privacy principles. Any information collected will be used only for the purpose for which it is collected, unless otherwise authorised by the client.

WOULD YOU LIKE OUR SOLICITORS TO PROVIDE A COMPLIMENTARY REVIEW OF YOUR CREDIT AGREEMENTS, TERMS AND CONDITIONS?(Required)

Yes

Please list the documents you'd like to receive complimentary reviews for: Director's Guarantee, Terms & Conditions, Credit Application.(Required)

AUTHORISED REPRESENTATIVE

Name(Required)

First Last

Mobile(Required)

Email(Required)

Position(Required)

Date(Required)

Appointment Expiry

This field is for admin use only.

Additional Information / Comments

Please complete and return all pages of this document to the Agent by email: orqld@optimumrecoveries.com.au. We cannot by law deal with any accounts until we hold the completed and signed document, and have provided a signed copy to you.

Authority to Proceed

I have read and agree to the Terms and Conditions

I hereby authorise Optimum recoveries to act on our behalf for the collection of accounts and in matters relating to all collections and legal action deemed necessary as instructed by clients to recover monies due and owing.

OPTIMUM RECOVERIES PTY. LIMITED

Optimum Recoveries Pty Ltd
Appointment of Commercial Agent Version 1.0

LICENCE: 3300348 l Debt Collectors (Field Agents and Collections Agents) Act 2014 QLD

ACN: 135 916 219 ABN: 14 135 916 219

Unit 2, 16/853 Nudgee Rd, Northgate QLD 4013
T 07 31668888
E orqld@optimumrecoveries.com.au

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What bank account would you like us to transfer recovered monies to, once cleared through our trust account?

Privacy Statement

AUTHORISED REPRESENTATIVE

OPTIMUM RECOVERIES PTY. LIMITED

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