Girls with Goals-Our Goal is Your Success

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Girls With Goals Is About: Community, Connecting, Coaching, e-Commerce


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Delinquent Account Collection History

Name: _________________________________________________________ Phone: _____________________________________________________

Address: ___________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

Contact: ________________________________________________________ Phone: _____________________________________________________

Date Account Opened:______________________________________________

Date Delinquent File Started:_________________________________________

Original Balance Due:______________________________________________

Date	Amount Paid	Balance Due	History of Collection Efforts/Phone Calls/Letters