• Credit Repair Consultation Form

    Credit Repair Consultation Form
    • Personal Information 
    •  - -
    • Credit Information 
    • Authorization of Monthly Payment & Service Disclaimer for Credit Restoration
      1. Payment Authorization
      By signing below, I authorize FSB CORNER INC  to charge my selected payment method for credit restoration services as outlined below:

      Initial Setup Fee: $55.95 (charged upon enrollment)
      Monthly Service Fee: $95.99 (billed monthly until cancellation)
      I understand that services will begin once the setup fee is successfully processed. Monthly billing will continue on the same date each month unless canceled in writing with a minimum of 45 days’ notice prior to the next billing date.

      Upload Driver License Front and Back

      Accepted Payment Methods:
      EFT via check (Client must upload or provide a clear front and back copy of the check.)
      Bank transfer (ACH) — Client must provide:

      Write Out Blank paper and sign :

      Bank name
      Routing number (RT#)
      Account number (Acct#)
      Other authorized payment processors, as approved by Customer/Client Listed  .

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