First Name

Last Name

Phone *

Email *

Address

Street Address *

City *

State *

Country

Postal Code *

Additional Monthly Requirement

You are required to maintain our recommended credit monitoring services, Credit Hero. This subscription service MUST be maintained throughout the credit improvement process. NOTE: Credit Karma and other third-party membership sites CAN NOT be used with this program.

All Services are NON-Refundable *

I acknowledge that this service is non refundable. Any disputes or chargebacks will be assumed fraud. I am authorizing this one time payment of $1,500. It is my responsibility to swiftly submit any required documentation. Any questions can be directed to [email protected]

Type First Name + City to serve as digital signature *

Clear

I understand that this service non refundable in any manner.

Service Authorization

By filling out this form, you authorize us to assist you and charge the applicable fee(s) to the provided debit or credit card information. Please be aware that due to the nature of this service, we do not provide refunds under any circumstance. Rest assured that you are solely paying for the services being rendered. Lastly, you affirm that the information you provided is indeed your information, does not belong to a 3rd party, and is legal and accurate.