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Cameron Moss
Legacy Financial Services
812-932-5626
cameronm@inlegacy.com

 

GET MY NEW
BOOK RIGHT HERE
- 100% FREE - Just compete this ==>
Info Request Form

 

Please complete this simple information request form in order to get full access to our web site and enrollment form.

I will also send you a copy of my new book and some other very useful information - all for free! After completing this form, please take some time to explore our web site, including the many examples of credit restoration successes. You will also be automatically eligible to win $25,000 in our annual $25,000 cash give away. See the details inside. Thank you for your interest in our association.

Remember, Our Association offers:

  • Proven Experience Successfully Assisting over 100,000 members since 1990!
  • An average credit score increase of 127 points after just six months
  • ZERO complaints to the Better Business Bureau!
  • Over 20 Incredible member's benefits!

 

USC Credit Restoration Association
Information Request Form

This is a secure form. This form requires NO compromising personal information, NO social security information, and we will NOT run a credit check. The form simply provides us with an overview of your situation so the we may best serve you. Please be as honest and accurate as possible so that we may best serve you. Please list any questions you have at the bottom of the form.

  • Please fill in all boxes - enter a "0" or "n/a" for the items that do not apply.
  • This information will be used only by us and will not be distributed in any way whatsoever.

Thank you for your interest in our program. Fields marked with an asterisk (*) are required.

Your Contact Information:

How Did You Hear About Us?
First Name *
Last Name *
Your Date of Birth* Enter as: MM-DD-YYYY
Spouse First Name, if applicable.
Spouse Last Name, if applicable.
Home Street Address *
Home City *
Home State *
Home Zip *
Person to Contact is *
Email * Please do not use Yahoo, Hotmail or AOL accounts if possible. These email services do not reliably receive email and we cannot guarantee that you will receive the information you requested. If you must use one of these, be sure to watch you spam folder and be sure to "white list" our email address when you get the first email.


Would you like a FREE, NO OBLIGATION Credit review and consultation (You can use the link to the left to Get Your Credit Report after submitting this form): *

Daytime Phone Number*


(**NOTE: You must provide a phone number that we can reach you during business hours of 9 am to 5 pm Eastern Time in order to receive your free consultation.)
   

A Little More About Your Current Credit Profile

Your Estimated Credit Score:
Spouse Estimated Credit Score:
Have you had a Bankruptcy?
Bankruptcy Type:
Have you had a foreclosure?
Please describe any other credit issues that you would like to resolve: (please type as much as you want)
Do you have any comments or questions? (please type as much as you want)
 








Thank you for taking the time to submit this request. I will review it and get back to you right away.

You will now be taken to a page where you can access my full web site and get a copy of my free book.

 

 

 

 

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