Credit Consultation Form
Lady L Advancement
Contact Information
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Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Birth Date
 -
Month
 -
Day
Year
Date
Financial Background
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Current Credit Score Range
Please Select
300–499
500–599
600–699
700+)
Should have created an account with Credit Karma, Experian, Equifax at least one of these.
Are there any collections or charge-offs on your credit?
YES
NO
Do you currently have any credit cards?
YES
NO
If "YES" How Many?
If "NO" please type "N/A"
Are you currently trying to buy a home, car, or start a business?
YES
NO
Please Explain
Goals & Needs
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What is your main credit goal?
Improve Credit Score
Remove Negative Items
Build Credit History
Prepare for a major purchase
Other
If "Other" Please type Here
How soon are you looking to get started?
Please Select
Immediately
1–3 months
3–6 months
Additional Services (Optional)
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Click which Service would you be Interested in?
Budgeting Classes
Secure Credit Card Referral
Business Loan Resources
Financial Literacy Events
Signature
*
I agree to receive communication from Lady L Advancement regarding my consultation and services.
📩 Book My Credit Consultation
📩 Book My Credit Consultation
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