Application/Payment Plan
Fill out the information below and fax it to: (954) 975-2448
PLEASE CHECK ALL DETAILS INCLUDING SPELLING OF NAMES.
*ONCE REGISTRATION IS COMPLETE WE CANNOT MAKE CHANGES
CLIENT INFORMATION FORM
SCN Request
First Name:
_________________________________________________________________________________
Last Name:
_________________________________________________________________________________
Social Security Number:
_________________________________________________________________________________
Date of Birth:
_________________________________________________________________________________
Alternative Address (Must be an address NEVER previously used to avoid crossing files):
Street:
_________________________________________________________________________________
City:___________________________________State:______________Zip Code:_______________
Phone Number:_______________________________Best Time To Reach You:________________
Package will be mailed to the address above unless otherwise specified
PAYMENT PLAN OPTIONS
Order Now and you can start all over with a new Secondary Credit Number!
If you are struggling with credit through your Social Security Number or can't seem to
get a loan then let us help you Today!
Most Companies Charge up to $3,000 for this service:
FOR ONLY $600
You pay $600 in full or two payments of:
1. Payment $350 Down Payment
2. Payment $350 Due Within 15th Days
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ALL PAYMENTS ARE NON-REFUNDABLE AFTER THE GRACE PERIOD OF 15 DAYS. IF PAYMENTS ARE NOT MADE IN FULL IN THE TIME ALLOTED THERE WILL BE NO REFUND!!!!
Contact us to make payment arrangements!
WE ACCEPT CASH, PAYPAL PAYMENT, WESTERN UNION, AND MONEY ORDER!
