Payment Authorization Form
Please fill out the form to submit your setup fee and start credit repair services.
Client Verification
Full Legal Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Payment Details
Plan Basic, Full Service, Premium, Pay Per Delete
Credit Repair Setup Fee 200
Total Program Cost: $600Today: $200 Setup FeeRemaining Balance: $400 unless the premium plan is selected
Total Amount 600
“I confirm that I am submitting my $200 setup fee to begin credit repair services. I understand the total program cost is $600.” unless the premium plan is selected
Payment Method
To complete your payment, use one of the following:
Cash App:
$Bosskingconsulting
Venmo:
@Bosskingconsulting
Please submit your $200 setup fee using your preferred method. After payment, return to this form and complete the confirmation below.
Confirmation
I confirm that I am submitting my setup fee to begin credit repair services.
*
I confirm that I am submitting my setup fee to begin credit repair services.
Complete Payment
Should be Empty: