By providing us with your information and clicking "Submit" below, you are authorizing Aargon Agency, Inc. to contact you by phone and/or email
and to request further information needed to confirm your identity and account details.
We may confirm your identity by verifying the following information:
1) Either an Aargon Agency, Inc. account number or your account number with the original creditor,
2) Your correct and current mailing address so a response or documents can be mailed to you; or
3) Your phone number if you would like us to contact you by phone.
Please note: No documentation will be emailed to you unless you have submitted an
electronic communication consent form.