Fuselier & Associates

FA Logo

Fuselier & Associates
1207 Hampshire Lane
Richardson, TX 75080
866-713-9815 voice
866-713-7288 fax
drjean@fuselierassociates.com

If you think you might need the services of Fuselier & Associates, then we'd like to meet with you to find out a little more about your situation. The consultation is absolutely free, and there is no obligation on your part. Simply fill out the questionnaire below and we'll be in touch as soon as possible.

Remember, there's no cost or obligation.

As with all our clients, your information is completely confidential. We will never provide your information to any third party.

Your Contact Information
Name:
Company:
Address:
City:
State:		Zip:
Daytime Phone:
Email:
Your Current Financial Situation:

What Types of Debts?
	Delinquent Trade Payables		Collection Agencies
	Equipment Leases		Property Leases
	Liquidations		Charge-offs
	Invoice/Contract Disputes
Any Tax Liens?		Yes No
If yes, please explain:

Any lawsuits pending?		Yes No
If yes, please explain:

Any judgments?		Yes No
If yes, please explain:

Total Number of Accounts Past Due?
What is the total amount of unpaid debts?
Have you been contacted by creditors or collection agencies?		Yes No
Have you been contacted by an attorney regarding these debts?		Yes No
Have you contacted an attorney regarding these debts?		Yes No
Have you ever used a debt negotiation service before?		Yes No
Your Settlement Goals
How would you best prefer to settle these debts:
Reduced, one-time payments Negotiated payment schedule Uncertain
How did you hear about F&A?
Word of Mouth Referral Via a Search Engine Link from another Website Newspaper Article Magazine Article Fax Email

>	Fuselier & Associates to Host Oklahoma Seminar
>	Fuselier & Associates opens Virginia franchise
>	Fuselier & Associates to Host Arkansas Seminar
>	Fuselier & Associates expands corporate offices