That you for your submission. The demand letter will be sent within 24 hours. A confirmation letter will be sent to you at the same time. Online Demand Placement Use this strong collection tool when you first notice your customer refuses to pay the account according to terms or fails to respond to your collection efforts. With this method, you are firmly, but tactfully, giving the debtor "notice" to pay in full by a specific date. After 10 calendar days, the account will automatically be assigned to NACM Business Credit Services for regular collection service and be subject to the terms and conditions governing regular collections. The key to collection is to place your accounts while there is still "life”. Submit Request for Demand Letter Online Please proceed with your demand service for the initial cost of $1.50 for NACM members, and $2.50 for non-members. Your Information * - Required *Your Name:  *Your Company:  *Address:  *City/State/Zip:  *Person to Contact:  *NACM Member?  Yes  No *Phone:  Member Number:  *Email Address:  Debtor’s Information Name AND/OR Company (Enter NA if unapplicable) *Debtor Name:  *Debtor Company:  *Debtor Address:  *Debtor City/State/Zip:  *Person to Contact:  *Phone:  Fax:  Cell Phone:  Debtor Account Number:  *Principle Balance:  Finance Charges:  If placed into regular collections, add:  For cost of collection. State amount if your contract  states a rate other than "all," "reasonable," or "1/3.":  Comments/Prior Conversations/Brief History of Account: If this goes into collection, the following information will be helpful to us. Please indicate which items you can make available to us if needed: Credit Application:  Copy of Correspondence:  Current Statement:  Personal Guarantee:  Contract or Promissory Note:  Copy of Lien:  Copy of Bad Check Notice and Mailing Receipt:  This Account is in Dispute:  Invoices (Copy or Original):  Bad Check (Copy or Original):  This Demand is submitted in compliance with the terms and conditions that follow: TERMS OF DEMAND LETTER: We assign the account appearing above to you for collection. If you do not receive notice of payment or settlement within 10 days in accordance with the “Demand Service”, you, as our agent, are authorized to proceed at once to collect the account on your established rules and rates (as set forth for amounts placed directly for collection which terms are incorporated herein), to accept payments and to endorse checks, notes, money orders or drafts for deposit, the net proceeds of which you are to be remitted to us. In the event it becomes necessary to forward the claim to attorneys for legal action, we direct and authorize you, as our agent, and as a convenience to us, to send the account to an attorney designated by us in the county of the debtor or, where none is so designated, to an attorney whose name or firm appears in the law list published and approved by the General Bar Association, upon prevailing rates in the area, net to him. Special authorization is required to file suit, compromise or grant an extension. It is further understood that there is no commission charge for any amounts collected within the 10 day demand period. If, however, payment is not made and the account is not withdrawn prior to the expiration of the 10 day demand period, we automatically assign the account over to you for collection subject to regular collection rates and fees. I have read and agree to NACM’s Terms of Demand Letter Yes We understand that if this account is not withdrawn within ten calendar days from the date of the acknowledgement, NACM will commence regular collection activities at the prevailing rates and pursuant to NACM collection services terms and conditions. The following required field(s) has(have) not been completed: