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Please complete this intake form to get started.

First & Last Name

Email Address

Phone Number

Which service are you interested in?

Which service are you interested in?
A
B
C
D
E
F

Have you completed payment?

Payment options are available on our website. Services begin only after payment is successfully completed.
Have you completed payment?
A
B

Briefly describe your credit goals or current challenges

Are you currently working with another financial service provider regarding your credit profile?

Are you currently working with another financial service provider regarding your credit profile?
A
B
C
D

If you selected 'Yes, Currently,' please briefly describe the type of services being provided (if known).

Client Agreement & Authorization

By signing below, I confirm that the information provided is accurate to the best of my knowledge. I authorize Millionaire Mindset Consulting to review my credit profile and provide consulting, analysis, and strategic guidance services as outlined in my selected package.
I understand that credit outcomes are not guaranteed and that timelines vary based on individual credit profiles, creditor responses, and client compliance. I agree to the Terms of Service and Privacy Policy.
Client Agreement & Authorization
Signature

Full Legal Name

Date Of Signature