REQUEST FORM

Collectibles Management Resources is a debt collector. This form is provided to you for use prior to the expiration of the validation end date printed on the notice that was mailed to you. We will use any informationyou give us to help collect the debt.

1805 N. Fine Avenue, #105

Fresno, CA 93727

P.O. Box 8438

Fresno, CA 93747

P. (559) 454 – 8900

P. (800) 845 – 8457

F. (559) 454 8691