Hello,
This has helped Many, Many people,
maybe it can help you.
We Are A Non-Profit Organization
Dedicated To Helping Consumers
Become Debt Free!
If you would like, We Can Help!
Please Fill Out This Short Application
And You Will Be On Your Way!
All Information is kept strictly
confidential!
This Information Will Aid Us in Helping You
Become Debt Free.
Good Luck and God Bless,
Richard J. Morgan
A consultant will be contacting you shortly,
providing you a helping hand and a
Free fully confidential, debt consolidation overview.
Contact Information
--------------------------
First Name:
Last Name:
Address:
City:
State/Zip Code:
Home Phone:
Work Phone:
Fax:
Email Address:
Employer Name:
Monthly Income:
Best Time for us to call?
include a.m. or p.m..
Comments:
--------------------------
Attention: this program is designed
for participants who are serious about
changing their financial situation.
No incomplete Applications including,
ommision of phone number, will be processed.
All information is for quotation accuracy only.
we do not run credit checks.
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Creditors Information
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Note: Please do not list your credit cards
as simply Master Card or Visa. Each bank
has diffrent requirements, List the individual
bank such as Chase Manhatten Master Card or
Citibank Visa, ect...Thank you for bieng thorough
and complete.
---------------------------
Creditor Name:
Total Balance:
Current Interest Rate:
Monthly Payment:
Month(s) Behind:
What Type of Debt:
---------------------------
Creditor Name:
Total Balance:
Current Interest Rate:
Monthly Payment:
Month(s) Behind:
What Type of Debt:
---------------------------
Creditor Name:
Total Balance:
Current Interest Rate:
Monthly Payment:
Month(s) Behind:
What Type of Debt:
Note: If you need more debt fields
just copy and paste some more in.
Also if your browser will not
allow you to fill in the questions
just copy and paste application to a text
pad and then fill in and copy and paste
back into browser when complete.
Good day,
Richard J. Morgan
