Collection Authorization Letter (Cal) (Page 2 of 2) in pdf

Collection Authorization Letter (CAL)

Your Company Name: _______________________________________________________

Address: __________________________________________________________________

Telephone: ____________________________ FAX #_______________________________

Contact Person/Email: _______________________________________________________

OBJECT: TRANSMITTAL FOR COLLECTION

We provide the following information on unpaid accounts and are requesting your collection of same from

the following debtor:

Debtor Company Name:___________________________________________________________

Address: ________________________________________________________________________

Telephone: ____________________________ FAX #_____________________________________

Contact Person : _______________________ Email:____________________________________

Debtor is a: Broker ( ) Carrier ( ) Consignee ( ) Freight Forwarder ( ) Network ( ) Other

Intermediary ( ) Shipper ( ) Shipper's Agent ( ) other: _________________________________

Debtor: Is still in operation ( ) Has ceased operations ( ) Is in bankruptcy ( )

( ) We want to authorize FDB to act as a collection agent

4. ( ) Please check here if we have your permission to report your debtors to the national

credit bureaus and as this may help in our collection success.

5. ( ) Please check here to give us permission to inform your debtor that you may pursue

legal action on those debtors who have assets. (After all collection efforts are exhausted,

we may recommend the pursuit of legal action, whereby we would send you an agreement

under separate cover for you to approve or deny.)

If you are providing a statement, you may note below SOA attached.

Invoice or Debit Note Number

Date of Invoice

Invoice Amount

Currency

Sincerely,

Name: ___________________________________________________

Title: ____________________________________________________

Signature: ________________________________________________

1035/22 Floor No. 2 Soi Kunvijit, Sukhumvit 71 Road

North Klongton, Wattana, Bangkok 10110 Thailand

Telephone: +662 713 1831 – Fax: +662 381 2845

Email:

- URL:

Collection Authorization Letter (Cal) Page 2