Credit Repair Intake 🖤✨
Welcome to your first step toward financial freedom. Please fill out this intake form completely. This helps us understand your credit situation and confirm if you qualify for our credit program. Incomplete or inaccurate forms will not be processed.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Estimated Credit Score? ( Don’t be ashamed we’ve all been there )
Below 500
500-600
600-700
I don’t know 🤷♀️
What are your biggest credit concerns?
Late payments
Collections
High Utilization
Identity Theft
Other
Do you currently have open credit cards? 💳
Yes
No
I’m not sure
Have you worked with a credit repair company before ?
Yes
No
How soon are you ready to start your credit journey?
Immediately
Within 2 weeks
Not Sure, Just Browsing🤔
Are you comfortable with our program investment ($120 start-up, $100 monthly)?
Yes
No
I’m just curious right now
☑️ I understand BlackCard Financials is not a quick-fix service. I commit to providing accurate documents and staying consistent to see results. I understand that I must fill out this form all the way & book my discovery call to be consulted!
Yes
No
Submit
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