Return Equipment

Return Equipment

This is an attempt to collect a debt by a debt collector and any information obtained will be used for that purpose.

Name^*

Address 1^*

Address 2

City^*

State^*

Zip

Email^*

By providing this email I am authorizing CCB to Contact me via my Email.

Phone^*

Day/Work Phone

Cell Phone

Account Number (if known)

What equipment from which retailer would you like to return^*

Please give us three possible dates when the package could be ready to be picked up?^*

Please contact us at 1-605-341-4414 to arrange more exact pick up appointments.