welcome Get Started Client Service AgreementThis Debt Recovery Services Agreement is made between Bluechip Collections Pty Ltd and the Client named in item 1 and commences on the date of submissions of this agreement. The parties enter into this Agreement after having read and understood the Terms and Conditions overleaf. Bluechip Collections Pty Ltd agrees to provide debt recovery services to the Client, and the Client agrees to retain Bluechip Collections Pty Ltd, upon the basis set out in this Agreement, comprising this Schedule, the Terms and Conditions and Annexure (if any).1. ClientRegistered Name*Trading Name*ABN*ACNRegistered Address*Trading Address*Website2. Contact InformationPlease fill out your contact information below for statements, remittances, and reports.Name*Title*Postal Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Telephone*Email Address 3. Fees for ServicesCommission Rate / Fee Structure Click here Schedule of Fees Click here4. SignatoriesSigned on behalf of the clientSignature*Name of authorised signatory*Position of authorised signatory5. ServicesStandard Services comprise: SERVICE PRICE Joining Fee FREE Debt Strategy Consultation (telephone) FREE Credit Application Review FREE Calls (standard) FREE Emails (standard) FREE Text Messages (standard) FREE Demand Letters (standard) FREE Dedicated Account Manager FREE Skip Tracing (standard) FREE Reporting FREE Portal Access FREE Cancellation Fee FREE Legal Action Management FREE Schedule of Fees Read Client Service Agreement hereAuthority to Proceed* Yes, I have read and agree to the Client Service Agreement I hereby authorise Bluechip Collections to act on our behalf for the collection of accounts and in matters relating to all collections and legal action deemed necessary as instructed by clients to recover monies due and owing. This iframe contains the logic required to handle Ajax powered Gravity Forms.
