Request A Receipt

You agree that Midwest Receivables Staff may from time to time make calls and/or send text messages to you at any telephone number associated with your account, including wireless telephone numbers that could result in charges to you. You hereby confirm that any number you provide belongs to you. The manner in which these calls or text messages are made to you may include, but is not limited to, the use of prerecorded/artificial voice messages and/or automatic telephone dialing system. You further agree that Midwest Receivables Staff may send emails to you at any email address you provide us or use other electronic means of communication to the extent permitted by law. You agree and acknowledge that any email address or any other electronic address that you provide is your private address and is not accessible to unauthorized third parties. You agree and acknowledge that you have requested that we send the document(s) you have requested to you at the email address you have provided. Consent may be revoked at any time and by any reasonable means.

I acknowledge and agree to policy terms and conditions.