This communication is from a debt collector. This is an attempt to collect a debt. Any information obtained may be used for that purpose.
By entering information into this web form, I acknowledge and agree to the Terms and Conditions above.
To receive communications from FAST via e-mail and/or text messaging, all the following requirements must be met:
1. Fill out the entire form completely and accurately
Make sure to fill out the following fields:
2. First Name
3. Last Name
4. FAST Account #
5. Personal Email Address
6. Verify Personal Email Address
7. Cell Phone Number and Service Provider
8. Check the boxes to indicate consent to be contacted via email or text messaging
*First Name: *Last Name: *FAST Account#:
To authorize FAST to communicate with you in the future through written correspondence regarding additional accounts via email, please include any additional accounts below separated by commas:
Please note we advise against using an email address provided to you by your employer or related in any manner with your workplace or place of employment. There can be no expectation of privacy concerning an e-mail associated in any way with one’s place of employment.
*Personal Email Address: *Verify Personal Email Address:
* Yes. I CONSENT to FAST contacting me via email using this email address.
Cell Phone# Cell Phone Provider:
Yes. I CONSENT to FAST contacting me via text messaging using this cell phone number.
I received a phone call. I received a letter.
I verify that the information filled in above is accurate.*
Electronic Signature: First Name and Last Name*
By sending this Authorization Form to FAST, I acknowledge:
- I am the owner of the account.
- The e-mail address provided is a personal email address and is not provided or owned by my employer.
- The cell phone number provided is my personal cell phone number and is not provided or owned by my employer.
- By submitting the below form, I allow FAST to contact me via Email and/or text messaging for the specific account/s I indicated in the form and any future new accounts serviced by FAST.
- I consent to receive email and/or text messaging responses to my inquiries and acknowledge that FAST is not required to respond by email and/or text messaging.
- I agree to keep FAST informed of my current Cell Phone number and will notify FAST if the number is no longer in my possession.
- Additionally, by sending this request and authorizing communication by e-mail and/or text messaging, I understand that FAST cannot guarantee the security or privacy of confidential information when communicating by e-mail and/or text messaging.