Credit Repair Inquiry Form

Credit Repair Enrollment Form

“I tell you, you can pray for anything, and if you believe that you’ve received it, it will be yours.”— Mark 11:24 (NLT)
- Full Name*
  
  First NameLast Name
- Email*
  Please enter a valid email.
- Last 4 SSN *
  Double check for errors.
- Birth Date*
  
  MonthDayYear
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Phone Number*
  Please enter a valid phone number.
- Have you had credit repair done before?*
- FacebookInstagramTiktokWord of mouthFlyerCurrent Client (Please enter their full name and number)
- Essential (Monthly) — $297 enrollment today, then $99/month starting next monthEssential (6 Month Plan) — $697 one-time today (enrollment + 6 months included)Priority (Monthly) — $497 enrollment today, then $149/month starting next monthPriority (6 Month Plan) — $1,197 one-time today (enrollment + 6 months included)VIP (Monthly) — $997 enrollment today, then $199/month starting next monthVIP (6 Month Plan) — $1,997 one-time today (enrollment + 6 months included)
- Please verify that you are human*
- Important Payment Notice:
  Before clicking Ready to Pay, please have your physical card in hand. Our payment screen is sensitive, and leaving the page to retrieve card details may cause the session to time out and require restarting the process.
  This card will also be stored for autopay, so please ensure it is unlocked and available for future payments.
  
  Monthly a small 3% surcharge will be applied.
- Should be Empty:

Credit Repair Enrollment Form