Gemini Debt Recovery
Corporate Debt Recovery - Bailiffs
0800 412 5262
mail@geminidebtrecovery.com
To instruct us to start recovering your debts please fill out the form below.
Please provide your contact information below:
Your Name Company Address Address (cont.) Town / City County Postal Code Country Work Phone Home Phone FAX E-mail Your Website WWW.
Your Name
Company
Address
Address (cont.)
Town / City
County
Postal Code
Country
Work Phone
Home Phone
FAX
E-mail
Your Website WWW.
Please provide Debtor (person who owes you money) details
Debtor Name Title Company name Address Address (cont.) Town / City County Postal Code Country Work Phone Home Phone FAX E-mail Their Website WWW.
Debtor Name
Title
Company name
Their Website WWW.
Enter the date The debt became actually overdue
-- dd/mm/yy
How much is the total debt amount including VAT
Enter the Invoice Number the space provided below.
Is the debt disputed or not?
Please Choose NO YES
What type of debt is it?
Please Choose Business to Business Debt Business to Person Debt Person to Person Debt
Please confirm you have read and accept our terms
Please choose YES I have read and accept your terms and conditions NO
Please choose your payment method
Please choose PayPal / Credit Card Cheque
Any other information you would like to add.