Credit Repair Form

I authorize My Credit Results and its representatives to obtain and review my consumer credit reports and related credit information from the major credit reporting agencies, including but not limited to Experian, Equifax, and TransUnion. I understand that this authorization allows My Credit Results to analyze my credit profile, conduct a detailed credit audit, and prepare dispute strategies related to inaccurate, unverifiable, or outdated information appearing on my credit report. I further authorize My Credit Results to communicate with credit reporting agencies, creditors, and collection agencies on my behalf when necessary as part of the credit analysis and dispute preparation process.

Monthly Plan - $60/monthly (Automatic Monthly billing for 6 months)

Pay in Full - $360 one-time (One payment for the full 6 months)

Credit Repair Form

Client Personal Information

First Name

Middle Name (If applicable)

Last Name (Add multiple Last Names if applicable)

Email Address

Phone Number

Alternate Phone Number

Date of Birth

Last 4 digits of Social Security Number

Street Address

Apartment / Suite / Unit

City

State

ZIP Code

Referred By