The Bitter Buyer – “We collect for you”

Online Consultation Form

Thank you for your interest in The Bitter Buyer, LLC. Our program is designed to help dissatisfied consumers recoup their money. There are no upfront fees; we only get paid when we recover your money for you. Please take a moment to fill out this easy consultation form to see if you qualify for our program. If you meet our qualifications, you will be contacted by one of our Consumer Support Specialists. All information provided will be kept strictly confidential.

What did you purchase?

What was the method of payment?

Check
Credit Card / Debit Card
Wire Transfer

Is the credit card / checking account that was used in your name?

Yes
No

What was the amount of the purchase?

What was the date of purchase?

What was the date of expected service or product deliverance?

What was the name of the merchant who you purchased from?

First Name:

Last Name:

Address:

City:

State:

Zip:

Phone Number:

Email Address:

Best Time to Call:

Security Code: