Credit Repair/Budgeting Prerequisite Form

Credit Repair/Budgeting Course Form

Prerequisite
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Do you plan on applying for any credit-based items within the next 3-4 months? Like credit cards, car loans, etc.
How many credit cards do you own?
How many credit cards do you have that are currently late or maxed out?
Do you have any outstanding student loan payments ? If so, are they in good standing or late?
Agreement and Acknowledgment: I understand that all information provided in this form will be treated with the utmost confidentiality in accordance with applicable Connecticut privacy and consumer protection laws.The information collected will be used solely to assess my financial situation and to determine the appropriate credit repair services and strategies best suited to my needs. I acknowledge that for the credit repair process to be effective, it is essential that I adhere to the action plan mutually agreed upon by both myself and my credit repair specialist. If you agree to these terms, please type Yes above and sign below.
Signature
I acknowledge and agree to establish and maintain an active MyScoreiQ account and membership for the duration of my credit repair process. Type Yes below if you agree.
I understand that All Sales are Final. Type Yes below if you agree.
What are your goals after achieving good credit?
My Products
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Credit Repair/Budgeting course
$500.00 Quantity

Total

$0.00

Credit Repair/Budgeting Course Form