Client Enrollment

Services Fees

Clean Slate Sweep $2000.00
Credit Sweep $1000.00
Inquiry Removal $1000.00
Credit Repair $475 to enroll and $65 per month
Trade lines fees vary. Fee is given after consultation.
Credit Consultation $100.00

Please contact us to arrange payment prior to completing the enrollment form. Completing the enrollment form prior to payment will only delay your processing time. Once we have received your payment and you have completed the enrollment form the process will begin.

Client Information

Name *

First

Last

Date of Birth *//

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Social Security Number *

Credit Bureau Reports Information

We need to view your current credit report from ALL THREE CREDIT BUREAUS in order to begin our work. This is required. Our prefered vendor is IdentityIQ. The only other acceptable credit monitoring service that can be used for our service is Privacy Guard. You must keep the same credit monitoring service open throughout the entire credit sweep and repair process. Do not switch to a different service and do not pull your own reports. If you do not have the information now, please continue filling out this form to the best of your ability. You can submit missing items ASAP on our website or via email.

Credit Monitoring Service Name (IdentityIQ IS REQUIRED TO AVOID DELAYS)

Credit Monitoring Username

Credit Monitoring Password

Identity Verification

Social Security Card Upload

Driver's License Upload

Address Verification Upload

Additional Information Upload

For Trade lines

**Please read before placing your order! First and foremost, we DON'T do funding. We lease out revolving tradelines for a minimum of two months from the statement date. After your line posts to your credit report, we are not responsible nor will we give a refund if you are unable to obtain funding for whatever reasons. Also note, if there is any issue with your order outside of our control that is within our contractual obligation, then we will issue a replacement line or a store credit. NOT a refund.**

Payment

****Please contact Resurrected Credit Group directly prior to making payment. We can be reached via phone or email.****

Total

$ 0.00

Credit Card *

Card Number

Security Code

Name on Card

Expiration/

Signature *

YOU MUST READ AND AGREE TO OUR CREDIT SERVICE AGREEMENT, and Resurrected Credit Group Terms and Conditions BEFORE SUBMITTING THIS FORM. By signing our authorization agreement, you are also agreeing to our fees as outlined in the package you select. I HEREBY CERTIFY THAT I HAVE READ THE CREDIT SERVICE AGREEMENT, and Resurrected Credit Group Terms and Conditions, AND THAT I UNDERSTAND AND AGREE WITH EACH OF THE TERMS SET FORTH ABOVE. **ALL PAYMENTS ARE NONREFUNDABLE**