Consumer Report Evaluation

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number

Please enter a valid phone number.

4

What are you interested in?* This field is required.

Credit Repair Service

DIY Templates

5

Please provide the last four of your SSN* This field is required.DO NOT SUBMIT YOUR FULL SSN

6

PLEASE UTILIZE THIS LINK TO RECEIVE YOUR CONSUMER REPORT EVALUATION:

SMART CREDIT

A new window will pop up, please return to this window once completed to complete your submission

FAILURE TO USE THE LINK ABOVE WILL RESULT IN AN INCOMPLETION OF YOUR EVALUATION.

(APRIL WILL NOT UTILIZE ANY OTHER ALTERNATIVE SITES)

7

Please provide your login details to the credit monitoring selection from above* This field is required.provide: username, password, and security word if applicable

8

Are you a current credit restoration client?* This field is required.

YESNO

9

I understand that it can take up to 24-48 business hours to receive your emailed evaluation?* This field is required.Please be sure that you have entered the correct email address above Agree to be contacted via email/text message

YESNO