Enrollment Form

Enrollment Form
Full Name*

First NameLast Name
Social Security Number*
Date Of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Signature*

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POLICIES

*To be enrolled in our program you are REQUIRED to keep active credit monitoring with IdentityIQ, we can not continue our services if you are not enrolled in their credit monitoring services.

*If you can't commit to at least 6 months to 1 year of working with us please do not sign up. If you are actively filing for bankruptcy please do not sign up. If you are willing to put in the work, so are we. Let's raise your credit scores and your financial confidence!

*If you currently live in the state of Georgia we can not assist you at this time. If you sign up we will have to cancel your enrollment, sorry for the inconvience.

*After enrollement I agree to complete registration within 48 hours.
I've read and agree to all of Dee Hark Enterprises Policies*

Yes I agree
I was referred by:

First NameLast Name

My Products*

Single Audit FeeSingle person enrollment for a 3 Bureau Audit with a recurring monthly fee of $97.00 per month.

$147.00 Quantity

Single Audit FeeSingle person enrollment for a 3 Bureau Audit with 6 months of service

$497.00 Quantity

Enter coupon

Total

$0.00

Credit Card

*If you would like to use another form of payment other options are, Cash App: $Diashaunta (use coupon code: CASHAPP) and Zelle: info@deehark.com (use coupon code: ZELLE). Finish enrollement and then submit your payment with which ever one you chose.
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