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It's easy to get started:

We have provided a form below which gives you a variety of options for us to serve your needs:
After completing the form below, click process.
You will then have a copy of your submitted information to print for your records. You will also be emailed a copy.

Any hard copy can be mailed to us.
Our address is below.
(all submissions will be confirmed within 24 hours)

You can also print this form and fax to: 772-283-9100

The Royal Mercantile Trust Corp. of America
10 Central Parkway Suite 200
Stuart, Florida 34994
Telephone: 772-220-1300 Fax: 772-283-9100
Toll Free: 1-800-327-9714
Thank You

Please provide the following client information
Company Name
Authorized By
Your Name
Type of Industry
Street Address
Address (cont)
City
State/Province
Zip/Postal Code
Country
Work Phone
Work Fax
Your Email

Please provide the following debtor information
Debtor Company Name
Responsible Party
Type of Industry
Street Address
Address (cont)
City
State/Province
Zip/Postal Code
Country
Telephone
Fax
Debtor Email
Amount Owed
If debt consists of several invoices, please check one of the following
 None
Attached
Enroute
If you have been working with one of our professional reps, please enter their name here:
Comments and debtor history. Please, if possible cut and paste all pertinent documentation to support your claim (invoices, proof of delivery, letters of correspondence).

Thank you for the opportunity to collect your bad debt accounts. We will keep you informed of all significant developments.


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