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50.28.42.155  Public Scan

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Submitted URL: http://www.rccgab.com/
Effective URL: https://www.rccmn.com/payment-form
Submission: On January 18 via manual from IN — Scanned from CA

Form analysis 3 forms found in the DOM

POST https://www.rccmn.com/payment-form/submit_form/1253#formblock1253

<form enctype="multipart/form-data" class="form-stacked miniSurveyView" id="miniSurveyView1253" method="post" action="https://www.rccmn.com/payment-form/submit_form/1253#formblock1253">
  <div class="fields">
    <div class="form-group field field-text ">
      <label class="control-label" for="Question67"> RCC or Vendor Account # </label>
      <input name="Question67" id="Question67" class="form-control" type="text" value="">
    </div>
    <div class="form-group field field-text ">
      <label class="control-label" for="Question68"> Vendor Name </label>
      <input name="Question68" id="Question68" class="form-control" type="text" value="">
    </div>
    <div class="form-group field field-text ">
      <label class="control-label" for="Question69"> Your Company Name </label>
      <input name="Question69" id="Question69" class="form-control" type="text" value="">
    </div>
    <div class="form-group field field-email ">
      <label class="control-label" for="Question70"> Your Email Address <span class="text-muted small" style="font-weight: normal">Required</span>
      </label>
      <input name="Question70" id="Question70" class="form-control" type="email" value="">
    </div>
    <div class="form-group field field-text ">
      <label class="control-label" for="Question71"> Your Phone Number </label>
      <input name="Question71" id="Question71" class="form-control" type="text" value="">
    </div>
    <div class="form-group field field-text ">
      <label class="control-label" for="Question72"> Your Name </label>
      <input name="Question72" id="Question72" class="form-control" type="text" value="">
    </div>
    <div class="form-group field field-text ">
      <label class="control-label" for="Question73"> Invoice(s) Being Paid </label>
      <input name="Question73" id="Question73" class="form-control" type="text" value="">
    </div>
    <div class="form-group field field-text ">
      <label class="control-label" for="Question74"> Company and/or Name: </label>
      <input name="Question74" id="Question74" class="form-control" type="text" value="">
    </div>
    <div class="form-group field field-text ">
      <label class="control-label" for="Question75"> Address </label>
      <input name="Question75" id="Question75" class="form-control" type="text" value="">
    </div>
    <div class="form-group field field-text ">
      <label class="control-label" for="Question76"> City, State Zip: </label>
      <input name="Question76" id="Question76" class="form-control" type="text" value="">
    </div>
    <div class="form-group field field-text ">
      <label class="control-label" for="Question77"> Bank Routing # </label>
      <input name="Question77" id="Question77" class="form-control" type="text" value="">
    </div>
    <div class="form-group field field-text ">
      <label class="control-label" for="Question78"> Bank Name </label>
      <input name="Question78" id="Question78" class="form-control" type="text" value="">
    </div>
    <div class="form-group field field-text ">
      <label class="control-label" for="Question79"> Bank Account # </label>
      <input name="Question79" id="Question79" class="form-control" type="text" value="">
    </div>
    <div class="form-group field field-text ">
      <label class="control-label" for="Question80"> Check # </label>
      <input name="Question80" id="Question80" class="form-control" type="text" value="">
    </div>
    <div class="form-group field field-text ">
      <label class="control-label" for="Question81"> Transaction Amount </label>
      <input name="Question81" id="Question81" class="form-control" type="text" value="">
    </div>
    <div class="form-group field field-date ">
      <label class="control-label" for="Question82"> Date on Check </label>
      <div><span class="ccm-input-date-wrapper" id="Question82_dw"><input id="Question82_pub" type="text" class="form-control ccm-input-date hasDatepicker"><input id="Question82" name="Question82" type="hidden" value=""></span></div>
      <script type="text/javascript">
        $(function() {
          $("#Question82_pub").datepicker({
            dateFormat: "m\/d\/yy",
            altFormat: "yy-mm-dd",
            altField: "#Question82",
            changeYear: true,
            showAnim: 'fadeIn',
            onClose: function(dateText, inst) {
              if (dateText == "") {
                var altField = $(inst.settings["altField"]);
                if (altField.length) {
                  altField.val(dateText);
                }
              }
            }
          }).datepicker("setDate", "");
        });
      </script>
    </div>
    <div class="form-group field field-checkboxlist ">
      <label class="control-label" for="Question84"> The above information is exactly how it appears on the check. <span class="text-muted small" style="font-weight: normal">Required</span>
      </label>
      <div class="checkboxList">
        <div class="checkbox"><label><input name="Question84_0" type="checkbox" value="Yes"> <span>Yes</span></label></div>
        <div class="checkbox"><label><input name="Question84_1" type="checkbox" value="No"> <span>No</span></label></div>
      </div>
    </div>
    <div class="form-group field field-checkboxlist ">
      <label class="control-label" for="Question83"> I'm authorized to submit payment <span class="text-muted small" style="font-weight: normal">Required</span>
      </label>
      <div class="checkboxList">
        <div class="checkbox"><label><input name="Question83_0" type="checkbox" value="Yes"> <span>Yes</span></label></div>
        <div class="checkbox"><label><input name="Question83_1" type="checkbox" value="No"> <span>No</span></label></div>
      </div>
    </div>
  </div><!-- .fields -->
  <div class="form-actions">
    <input type="submit" name="Submit" class="btn btn-primary" value="Submit">
  </div>
  <input name="qsID" type="hidden" value="1510698277">
  <input name="pURI" type="hidden" value="">
</form>

POST /e-newsletter

<form method="post" action="/e-newsletter">
  <div class="sign_up_inp">
    <input type="email" name="EMAIL" placeholder="Enter Your Email" value="">
    <input type="submit" value="SUBMIT">
  </div>
</form>

POST /e-newsletter

<form method="post" action="/e-newsletter">
  <div class="sign_up_inp">
    <input type="email" name="EMAIL" placeholder="Enter Your Email" value="">
    <input type="submit" value="SUBMIT">
  </div>
</form>

Text Content

 * About Us
   * Team
   * Affiliations
   * News & Information
   * Videos
 * General Auditing Bureau
   * Pre-Collection Process
   * Personalized Letter Service
   * Client Retention
   * Avoid Collection Action
 * Commercial Debt Recovery
   * Personal Debtor Contact
   * Background Investigations
   * Personalized Reporting
   * Contingent Fee Based
   * Legal Services
   * Consulting
   
 * Liquidations
   * Liquidation of Receivables
   * Purchasing of Receivables
   * Consulting
 * Outsource
   * First Party Recoveries
   * Onsite Collections
   * Training Seminars
   * Consulting
 * Resource Center
   * FAQs
   * News & Information
   * Online Placement
   * Report a Payment
 * Testimonials
 * Careers
 * Blog
 * E-Newsletter
 * Contact Us

CLIENT LOGIN

763.315.9600

CLIENT LOGIN

 * Home
 * Testimonials
 * Careers
 * Blog
 * E-Newsletter
 * Contact Us

763.315.9600
 * About Us
   * Team
   * Affiliations
   * News & Information
   * Videos
 * General Auditing Bureau
   * Pre-Collection Process
   * Personalized Letter Service
   * Client Retention
   * Avoid Collection Action
 * Commercial Debt Recovery
   * Personal Debtor Contact
   * Background Investigations
   * Personalized Reporting
   * Contingent Fee Based
   * Legal Services
   * Consulting
 * Liquidations
   * Liquidation of Receivables
   * Purchasing of Receivables
   * Consulting
 * Outsource
   * First Party Recoveries
   * Onsite Collections
   * Training Seminars
   * Consulting
 * Resource Center
   * FAQs
   * News & Information
   * Online Placement
   * Report a Payment




PAYMENT FORM

 * Home
 * Payment Form

 * About Us
 * General Auditing Bureau
 * Commercial Debt Recovery
 * Liquidations
 * Outsource
 * Resource Center


PAYMENT FORM

Receivables Control Corporation
(763) 315-9600
Secure Electronic Payment Form

RCC or Vendor Account #
Vendor Name
Your Company Name
Your Email Address Required
Your Phone Number
Your Name
Invoice(s) Being Paid
Company and/or Name:
Address
City, State Zip:
Bank Routing #
Bank Name
Bank Account #
Check #
Transaction Amount
Date on Check

The above information is exactly how it appears on the check. Required
Yes
No
I'm authorized to submit payment Required
Yes
No



*Filling out this form authorizes Receivables Control to process transaction.
There is a $7.95 charge added per transaction.

There will be no solicitation because of this form.

Any questions please call Receivables Control at 763.315.9600.



Faqs
Testimonials



FIND OUT HOW WE’LL IMPROVE YOUR RECEIVABLES PERFORMANCE.

Free Consultation

RECEIVABLES CONTROL CORPORATION

7373 Kirkwood Ct. Suite 200
Maple Grove, MN 55369

Phone | 763.315.9600

GET CONNECTED:

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QUICK LINKS

 * About Us
 * General Auditing Bureau
 * Commercial Debt Recovery
 * Liquidations
 * Outsource
 * Resource Center

 * Testimonials
 * Careers
 * Blog
 * E-Newsletter
 * Contact Us
   
 * Service Locations

AFFILIATED WITH

Copyright © 2023 Receivables Control Corp. All Rights Reserved. Sitemap Website
Credits

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