CREDIT BUREAU SERVICES
NEW PROSPECTIVE CLIENT

Please complete the form below and a representative will contact you. For faster service please call us at (573)334-6044 between 8:00 am & 5:00 pm cst.

Steps to becoming a Credit Bureau Services Client!

  Name of Business

  Type of Business

  Contact Person

  Title

  Address

  City, State, Zip Code

  Email Address

  Telephone Number

  Fax Number

  How would you like us to contact you?

  How would you prefer to place accounts?

  Number of Accounts to List Monthly

  Average Balance per Account

  Projected Monthly Listing in Dollar Amount

  Average Age of Accounts

  When do you plan to place accounts?

  Please let us know if you have any specific questions or concerns!

Trish Hedrick
Sales Representative
573-334-6044 ext. 116
Email Address: thedrick@creditbureauservicesinc.com

Wendell Miller
Service Representative
573-334-6044 ext. 118
Email Address: wmiller@creditbureauservicesinc.com