Integral Recoveries Payments

Your Information as it appears on our statement
Account Information
File Number:*  
Your name: 
First:*
Middle Initial:
Last:*
Address, City, state and zip code:
Address:*
City:*
State:*
Zip code:*
Phone number as it appears
on your statement:*
Contact phone number:*
Employer:
Work phone number:
E-mail address:*

Your Credit Card Information
Payment Information
Payment amount:*
Credit Card Number:*
Credit Card Type:*
Expiration Date:*
Name on Credit Card:*
Security Code:*
(CVV2 as it appears on the credit card [click for help])
Verify you are human.
What is 4 divided by 2:*

This is an attempt to collect a debt. Any information obtained will be used for that purpose. This communication is from a debt collector.

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