Credit Repair Application 

1
How should we address you?NEXT
First Name
Last Name
2
What is a good number to reach you?
Area Code
Phone Number
3
Which email address should we use to contact you? * This field is required.Don't worry we won't spam you.
example@example.com
4
What State do you live in?* This field is required.
5
What is your current credit score?** This field is required.
600 or more
500-600
400-500
under 400
Bankruptcy
6
What negative items are on your credit report that you'd like removed?* This field is required.(select all that apply)
Collections
Repossession
Hard Inquiries
Charge-Offs
Late Payments
Negative Student Loans
Child Support
Medical Bills
Eviction
7
If you do qualify to work with our company and team, do you agree to answer the phone for the opportunity to have your credit fixed in the next 24-48 hours?* This field is required.
YES, I will answerNO. I won't pick up and waste your time (You will not qualify)
8
Have you ever had another credit repair company work on your credit report previously? * This field is required.
YESNO
9
If you do not know your scores, this is a good time to check your scores. Click the link below to receive your 3 bureau credit report for only $1.

Once you complete the link download the credit report on a laptop or computer which you will submit on the following page.

$1 CREDIT REPORT CLICK HERE

(note: if you decide to joing our company credit hero scores has to remain active during the provess. Today you can sign up for a 7-Day $1.00 Access Fee, then a monthly membership fee of $19.95 will apply. If you choose not to go with our company you will have to cancel your membership prior to the 7 days)
10
If you have your reports, please Insert the 3-bureau credit report which you should have downloaded from the link on the previous page.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
11
Thank you for completing the survey. Click SUBMIT in the bottom right hand corner to see if you QUALIFY for our program. If qualify you will be prompted to schedule a consultation and within 24 hours you will receive an email titled [Please Read] CREDIT REPAIR ANALYSIS in which we will break down the credit report that you submit & the cost of the services in order to remove the negative items from your credit report. If you have any questions you may contact us at 888.224.6001 or email us at reliablecreditrepair1@gmail.com & we will get back to you within 24 hours.
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