Credit Repair Consent Form

Credit Repair Consent Form

Please read and sign below to consent to credit repair services.
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Client is responsible for a one time $150 client member enrollment fee (Bill will be issued within 14 days of membership start date). Client may opt in to pay a 1-time annual membership fee of $1200 or $150 monthly. Included with membership you will receive online access to a 24/hr credit repair client portal, printable document of consolidated or removed marks (proof of credit marks removed or consolidated does not guarantee client will qualify for applied source), a handbook to educate client on repair process and tips on how to manage credit/ finances and savings, and a financial literacy and freedom pamphlet (via email or usps). Members may cancel anytime. Bimonthly pamphlets will be issued to navigate through financial obstacles. Client must agree that any extended line of credit acquired, or debt accumulated after membership start date must be regulated and does not reflect the ability of the company to deliver adequate services. At any time, client may be dropped from membership with no REFUND. Client may not see changes in credit score for up to 60 days. Contact us at 469-616-1422 visit us at 707 N Palestine, Athens, Tx 75751.*

I agree to the termsI do not agree to the terms
Signature

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Date

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Date
No credit repair organization may charge or receive any money or other valuable consideration for the performance of any service which the credit repair organization has agreed to perform for any consumer before such service is fully performed.
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