[Your letterhead, if desired; if not, your return address]
[Date of letter-month, day, and year]
[Recipient's first and last names]
[Company name]
[Street or P.O. box address]
[City, State ZIP code]
Dear [recipient's name]:
I am writing to request payment from you for the services that our company provided to you on September 12, 2010. The total amount due for these services is $259.79. Please send payment in full by the 15th of this month either via check in the mail or by calling our billing department at 800 789-1819. If you make your payment over the phone, you may use a debit or credit card.
Please contact us if you need further information or have questions about this payment. Thank you in advance for making this payment right away. It has been a pleasure working with you.
Sincerely,
[Signature]
[Sender's first and last names]