1 → Has money already been debited from your account in the past? *

2 → How many Euros have been debited from you monthly? *

3 → How often has this amount been debited? *

4 → Which company debits money from you? *

Select as many as you like

5 → Have you already received a reminder from a collection agency or a law firm? *

6 → From whom have you received a letter? *

Select as many as you like

7 → You can upload the reminders or letters here (optional)

8 → Your Email Address *

9 → Your Name *

10 → Your Phone Number *

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