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Select A Service Category
Tier I Service Plan (1 - 5 Tradelines)
Individual- $500 Administration Fee / $50 Annual Fee
(Payment Plan $100 Initial Payment, $40 per month for 11 months)
Couples- $750 Administration Fee / $75 Annual Fee
(Payment Plan $150 Initial Payment, $60 per month for 11 months)
Tier II Service Plan (6 - 15 Tradelines)
Individual- $600 Administration Fee / $60 Annual Fee
(Payment Plan $125 Initial Payment, $50 per month for 11 months)
Couples- $900 Administration Fee / $90 Annual Fee
(Payment Plan $175 Initial Payment, $75 per month for 11 months)
Tier III Service Plan (16 or more Tradelines)
Individual- $700 Administration Fee / $70 Annual Fee
(Payment Plan $150 Initial Payment, $60 per month for 11 months)
Couples- $1000 Administration Fee / $100 Annual Fee
(Payment Plan $200 Initial Payment, $90 per month for 11 months)
Your Information

*Your Name:
*Phone Number:
E-Mail:
*Address:
*Date of Birth:
*Social Security Number:

Spouse's Information (only needed if you are signing up as a couple)
Spouse's Name:
Date of Birth:
Social Security Number:

Payment Information (Debit or Credit)
Type:	Visa Master CardAmerican Express
*Name On Card:
*Card Number:
*Expiration Date:
*CVV/CVV2:

Special Requests or Instructions?

Payment Plan? Yes, I would like the payment plan option.

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