Fast Track Debt Collection PTY Limited ("FTDC")

Appointment of Collection Agent

It is Agreed:

  1. You the Client hereby appoint Fast Track Debt Collection PTY Limited ("FTDC") as collection agent from the date of this Debt lodgment.
     
  2. You the Client hereby agree to our Collection Service Agreement Terms & Conditions which apply to and are incorporated into this Debt lodgment. [These terms and conditions are available on our website and on request].
     
  3. The person lodging this Debt matter warrants that he/she is authorized to submit this lodgment and is authorized to accept our Collection Service Agreement Terms & Conditions

Fast Track Debt Collection Submit a Debt Form

Please Note: We are only permitted under the Act, to recover what has been Tax Invoiced to the Debtor.

Your Details

Please fill out your details below.
Your Address:

Your Bank Details

All funds recovered are Direct Deposited to your Nominated Account below.

Debtor Details

Please fill out the debtor details here.

(Invoice/Account Number)

(Oldest Inv)

(Most Recent)

(Of combined invoices, if more then one)

(Company name or persons name owing the debt)

If a business.

DEBTOR POSTAL ADDRESS:

DEBTOR STREET ADDRESS:

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