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New Client Enrollment Form

Let’s get started on your credit improvement journey. Fill out the form below and a credit specialist will reach out shortly.

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Please complete all required fields accurately. Your information is kept confidential and secure. If you have questions before submitting, feel free to [Contact Us].

DOB
Month
Day
Year
Start Date
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Day
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1. Credit Karma Monitoring 

2. Experian Monitoring 

3. MyEquifax Monitoring 

The credit monitoring websites to be used are Credit Karma, Experian, and MyEquifax.

I confirm that I am the client and that all the information provided above, including my signature, is true and accurate to the best of my knowledge. I agree to hold Frazier Credit Services and/or its assignees harmless, and I release them from all liability for any loss or damages resulting from any misrepresentations made by me.


I understand and acknowledge that I am enrolling in a flat-fee credit repair program, either the 30-Day Expedited Program or the 90-Day Tier-Based Program. I further understand that all fees are nonrefundable.


I also acknowledge that Frazier Credit Services will only address the credit items identified at the start of the 30-Day or 90-Day Program. Any additional or newly reported items not included in the original scope of work will require a separate fee, should I choose to have Frazier Credit Services address those items.

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