| * How did you hear about
us? |
* To select multiple entries, hold down the Control key on
your keyboard as you click on the entry with your mouse. |
| Log on Information
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| * E-Mail Address: |
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| * Confirm E-Mail Address: |
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| * Password: |
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| * Confirm
Password: |
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| 1. CreditMax will create a temporary password; and it will be emailed to you. Then you will have to change it when you login for the first time.
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We respect your privacy.
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| About Buyer
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| * Date: |
9/3/2010 |
| * Salutation: |
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| * First Name: |
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Middle Initial: |
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| * Last Name: |
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* Enterprise Name:
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| *
Company Title: |
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| * Company
Name:
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| * Company Type: |
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| * Company Telephone: |
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| Company Fax: |
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* Country: |
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| * Address: |
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| * City: |
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| * State: |
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*
Zip: |
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| Purchaser Profile
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| * Professional
Membership(s): |
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| Avg. Monthly Principal
Balance Purchased: |
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| Avg. Monthly
Investment in Purchased Debt: |
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| * No. attorneys
in company: |
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| * No.
collectors in company : |
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| * No. employees
in company : |
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| * No. locations
in state: |
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| Preferred
Level of Debt Purchase: |
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| Preferred Type
of Debt Purchase: |
Other (Please List):
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| *
Preferred Location of Debt Purchase: |
Other Group of States:
* You can select up to 5(five) states.
** To select multiple entries from state listbox, hold down the Control key on your keyboard as you click on the entry with your mouse. |
| Comments: |
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* Required Fields |
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