CREDIT WIPING CONSULTATION AND CREDIT ATHORIZATION CONTRACT AGREEMENT

            This Agreement made and entered into this day; Please Enter Date:  2010,
            By: MR / MRS Name:      
            
            INITIALS:      
            SIGNATURE:     


            
            INITIALS:      
            SIGNATURE:     



            
            INITIALS:      
            SIGNATURE:     

            
            INITIALS:      
            SIGNATURE:     

             
            CREDIT WIPING QUESTIONAIRE PLEASE ANSWER ALL QUESTION ACCURATELY 

            First Name    :    
            Middle Name   :    
            Last Name     :    
            SSN Number    :    
            Date of Birth :    

            Home Address  :    
            City          :    
            State         :    
            Zip Code      :    

            Email         :    
            Phone Number  :    

            SPECIAL COMMENTS OR STATEMENTS
            
            INITIALS:      
            SIGNATURE:     


            

            The information provided within this contract is authorized by:
            Contract Signature:     
            Your Full Name:         
            Authorization Date:     

            Signed By: Matt Cohen; Cohen, Glatzer, Williams Associates TR. DBA; www.CreditWiping.com  

            
            

Please fill out the contract and application below. Simply fillout every indicated box with the required information and click submit.  Your contract and application will automatically be emailed.  Any incomplete application will be disregarded!  We have added this feature for your convenience.   PLEASE DO NOT SUMBIT A CONTRACT UNLESS YOU HAVE MADE YOUR PAYMENT.  CONTRACTS WITHOUT PAYMENTS ARE DISREGARDED! (Your Credit Bibles; valued over $120.00; will be emailed to you from our customer service team.)  

Please DO NOT submit a contract application until you have made your payment.  After you submit your payment you will be automactically be directed to fill out your contract and application.  If you need to be directed to submit your payment please click Pay Now.   After you submit your payment you will be automactically be directed to fill out your contract and application. 

BY CLICKING 'SUBMIT' YOU AGREE TO CREDIT WIPING.COM TERMS OF USE, OUR CONTRACT AND DISCLAIMER NOTICES
YOUR CONTRACT WILL BE  EMAILED AND PROCESSED IMMEDIATELY


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