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Start improving your finances today! Join thousands of Americans who have repaired their credit by removing inaccurate, misleading, or unverifiable items from their credit reports. Simply fill out the form below, and we'll take it from there! We accept all major credit cards as payment.

1.  Personal Information               First Name: Last Name Email: Zip Code: Address: City: State: Select One Alabama Alaska Arizona Arkansas Tennessee Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Pennsylvania Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Soc. Sec #: Phone: Fax: Birth Date: (MM/DD/YYYY) Work Phone: Cell Phone : Country: --> Please choose Australia Canada France Germany Netherlands Switzerland United Kingdom USA ------- All countries ------- Afghanistan Albania Algeria American Oceanian Territories American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Canary Islands Cape Verde Cayman Islands Central African Republic Ceuta Chad Channel Islands (UK) Chile China Colombia Comoros Congo, Democratic Republic Congo, Republic Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand New Zealand's Oceania Nicaragua Niger Nigeria Northern Mariana Islands Norway Oceania Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Qatar Reunion Romania Russia Rwanda Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St. Helena St. Kitts and Nevis St. Lucia St. Pierre and Miquelon St. Vincent and the Grenadines Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay USA Uzbekistan Vanuatu Vatican City State Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Yemen Zambia Zimbabwe 2nd Person (if applicable)       First Name: Last Name Email: Zip Code: Address: City: State: Select One Alabama Alaska Arizona Arkansas Tennessee Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Pennsylvania Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Soc. Sec #: Phone: Fax: Birth Date: (MM/DD/YYYY) Work Phone: Cell Phone: 2. Payment Information:     Payment Method Visa MasterCard Discover American Express Request Pay Pal Invoice Check Money Order (mail only)   Credit Card Account Number   Expiration Date (MM/YYYY)   Security Code 3- or 4-digit number (located on back of card) Number of Persons and Plan Select One Individual: $150.00 (90 Day Contract) Couple: $300.00 (90 Day Contract) Upgrade to Premium Mailings Yes: $50.00 For Premium Mail No (If you do not want this option make sure you select NO!) Select the correct total: Select One Individual: $150.00 plus $50.00= $200.00 Individual: $150.00 Couple: $300.00 plus $50.00 = $350.00 Couple: $300.00 Name for Authorized Payment ** (You are also authorizing us to auto deduct or draft your 4 monthly payments. This payment will be scheduled on the monthly anniversary of this contract.) i.e. 01/06/02, 02/06/02, 03/06/02         If you would like to have these fees taken directly out of your checking account please enter your checking account information here, or simply tape a voided check to a piece of paper and fax it to our office at 866-479-8801. Pay by check:   Bank Name:   Bank Address:   Bank Phone Number:   Routing Number (usually the first 9 numbers)   Account Number:     (must be checked to apply) I agree and understand what I am signing, and acknowledge that I have received a copy of the General Terms and Conditions and all of its provisions and attachments by printing or saving this document, and acknowledge that I have read and understand the Consumer Credit File Rights by printing this document. 3. Enrollment Information       Signature Date (MM/DD/YYYY)   Signature Date (MM/DD/YYYY)     TO COMPLETE THE SIGN UP PROCESS PLEASE CLICK SUBMIT AFTER YOU INDICATE THAT YOU UNDERSTAND AND AGREE TO THE ABOVE BY SIGNING AND DATING THE FOLLOWING Counselor's Name (if applicable): Please Select One     If you do not wish to submit over the Internet, print two copies of this contract one to mail or fax, and keep one for your records.