First Name *

Last Name *

Phone *

Date of birth *

Email *

Address *

Street Address

City

State

Country

Postal Code

Have you reviewed your credit report within the last 60 days? *

Yes

Are you currently enrolled in any other credit repair program? *

Yes

Have you ever filed bankruptcy? *

Yes

If Yes, When?

What concerns you most about your credit situation? *

Upload Credit Report (Optional)

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⚠️ IMPORTANT PROGRAM REQUIREMENT

Enrollment in any of our credit-related services requires an active MyFreeScoreNow Credit Monitoring subscription.

• Monthly Cost: $24.97 per month
• This subscription is required for us to monitor progress, review updates, and provide ongoing credit-related services.
• Clients must maintain an active subscription throughout their participation in the program.

By submitting this form, you acknowledge and agree that:

✅ You understand that MyFreeScoreNow is a required third-party service for enrollment.

✅ You are responsible for maintaining your active subscription.

✅ All program fees and payments are non-refundable once services have commenced.

✅ If you choose not to proceed after enrolling, no refunds will be provided for services rendered, administrative processing, onboarding, consultations, or related costs.

By checking the boxes below and submitting this form, you confirm that you have read, understood, and agree to these requirements and terms.

I understand this special offer includes:

✅ Credit Analysis

✅ Credit Report Review

✅ Two Rounds of Credit Disputes

✅ Personalized Credit Improvement Recommendations

I certify that the information provided is accurate.