Lodge a Debt - National Mercantile

Lodge your debt here, for large volumes please contact our office.

Are you an existing client?*
- Yes
- No
First Name*
Surname
Business Name
Email*
Contact Number*
Debt Details
Business Name
First Name
Surname
Address Line 1
Address Line 2
Suburb
State
Postcode
Email
Mobile Number
Work Number
Home Number
Amount Owed
Date(s) of Debt
Other Relevant Information
Please Upload any supporting documentation such as invoices or court orders. Upload multiple documents as a single zip file (.zip)
Accepted file types: jpg, png, gif, pdf, zip.
Phone
This field is for validation purposes and should be left unchanged.