07 577 0605
P O Box 15 077, Tauranga 3144

Email : Delwyn(at)backtoblack.co.nz

You must provide us with as much information as possible including completing our PDF Instructions to Recover Debts form.  Then we can proceed to collect the outstanding amount you have stated.

Alternatively, please use the form below:

This form is to provide Back to Black Limited with all the details you have about the person or entity which owes YOU money.

 

Required
  1. If a Partnership, please provide names of all partners on a separate sheet and the trading name of the partnership
  2. If a Company, please provide the exact name of the company
Address in full
Required
Required
Required
Required

(Full details are required. If a combination of goods and/or services, please specify each)

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Required
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Required