This Contact is an Affiliate as well YesNo
First Name (required)
Last Name (required)
Email (required)
(If you are using someone else’s credit card, please include their name and billing address in the “comments” section below.)
Address
City
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Country
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Have you lived at your current address for more than 2 years? YesNo (If not, please provide previous address)
Previous Address
Previous City
Previous Postal Code
Previous Country
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Expiry Year
By agreeing to this initial arrangement, you confirm and consent to the following terms:
Credit Audit Service: We will perform a comprehensive credit audit on your behalf. This service will commence once you provide us with access to your account with a credit report provider and your credit card information.
Payment Terms: You will not be charged for our credit audit or any related services until five business days have elapsed from today. After this period, a charge of $99.97 will be applied, followed by a recurring monthly fee of $99.97 until you choose to cancel our credit services.
Right of Cancellation: You have the right to cancel this agreement within five (5) business days from the date of acceptance, as specified above.
Social Security Number
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Phone
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Comments
Driver's License / ID
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Document #1
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Are you a human?
