Account Due Collections Form

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Text in this Example:

Account Due
Your Company
Your Street
Your City, State& Zip Code
Your Phone
Customer
Invoice Number
Account Number
Due Date
Balance
Finance Charge
Total Due
There is a balance due on your account which you may have overlooked. If you have made a payment and your check is in the mail, please accept our thanks. If you have not made a payment, please take a moment now to complete this form and return it along with your check. Thank You!
Full payment enclosed
Partial payment enclosed
Payment previously mailed on
Check No.
Comments
CUSTOMER SIGNATURE:
DATE