LossRecovery.com - Inquiry Form

Loss Recovery.com

Greenbaum Law Group, LLP

170 Newport Center Drive, Suite 130

Newport Beach, CA 92660

Toll Free Phone: 1-800-519-0562

Toll Free Fax: 1-888-760-7210

Email: mgreenbaum@lossrecovery.com

Inquiry Form - Get A Free Consultation

Below you will find our inquiry form which will provide us with important information regarding the receivables that you have for collection. We would appreciate it if you could fill out the form as completely as possible. Once we have received your inquiry form in our office, one of our staff members will contact you shortly to discuss the collection portfolio that you wish to place for collection.

To come to an arrangement regarding the collection of your receivables, we will email or fax you our client agreement tailored to reflect your company's collection campaign. Once you have selected the client agreement fee type, you simply email it or fax it back to us with your case information and we will review your receivables immediately.

Inquiry Form

Name:

Title:

Organization:

Address:

City:

State:

Zip:

Country:

Phone #:

Fax#:

Email Address:

Website Address:

Your Comments or Questions:

Information On Receivables You Wish To Place For Collection

Total Debt To Place

Number of Accounts

Description of Type of Debt

Average Placed Monthly

Average Age of Debt

Security Validation

Please type the code located in the blue box into the box beneath it so we know this is a legitimate request.

FXWQc477

Letters are case sensitive.

We understand that an Attorney-Client relationship will be not established until we have both signed the retainer agreement and Greenbaum Law Group LLP notifies you that we are accepting your case(s). An inquiry does not establish an attorney-client relationship and does not mean that we will accept a specific matter or client.

Our Collection Attorney Service Area Encompasses The Entire State of California Including Such Cities As:

Anaheim, Bakersfield, Beverly Hills, Burbank, Carson, Chatsworth, Chula Vista, Compton, Corona, Costa Mesa, Covina, Fresno, Fullerton, Garden Grove, Gardena, Glendale, Hollywood, Huntington Beach, Inland Empire, Inglewood, Irvine, Lakewood, Long Beach, Los Angeles, Newport Beach, Norwalk, Oakland, Ontario, Orange, Orange County, Oxnard, Palm Springs, Pasadena, Pomona, Rancho Cucamonga, Redlands, Riverside, Sacramento, San Bernardino, San Diego, San Francisco, San Jose, Santa Ana, Santa Barbara, Santa Monica, Torrance, Van Nuys, Ventura, Westminster, Whittier

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