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Home
Services
Collections
Consulting
A/R Management
Products
Testimonials
About
Contact
Collection Inquiry
Media Inquiries
Referral Agreements
Grow your Green, We'll Collect It
Submit A Claim
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Inquiries
Name
*
Name
First Name
Last Name
Position Title
*
Name of Business
*
Email Address
*
Phone
*
Phone
(###)
###
####
Would you like to be sent a Retainer Agreement?
*
Yes
No
How did you hear about us?
*
Web Search
Word of Mouth
Referral
Social Media
Email
Publication
Phone Call
Voicemail Message
Text Message
Other
If "Referral" or "Other" explain:
Type of Business
*
Please select type of business
Wholesaler (Grow, Edible, Extracts)
Retailer (Dispensary)
Processor
Ancillary (Lab, Packaging, Broker, etc)
Other
Total Receivable Amount Over 90 Days
*
Please select the total amount of aged receivables
Less than $25,000
$25,000-$50,000
$50,000-$100,000
$100,000+
Average Receivable Balance
*
Please select your average client receivable amount
Less than $2,500
$2,500-$5,000
$5,000-$10,000
$10,000-$25,000
$25,000+
Subject
Message
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