.::Credit Repair Plus::.

THE FAIR CREDIT REPORTING ACT

ONLINE MEMBERSHIP APPLICATION (CLICK HERE FOR PRINTABLE VERSION) Please completely fill in the information below. As soon as you submit your application you will be taken to a detailed instruction page. You can preview the instruction page by clicking here.
Name:
Home Phone:
Address:
City:
State:
Zip Code:
Social Security #:
Drivers License Number:
Date of birth:	(mm/dd/yy)

Own or Rent?
Home Telephone:
Cell Number:
Work Telephone:
Pager:
Email Address:

Employer Name:
Address:
City:
Zip Code:
Position:
How Long:

Are you planning to buy a home or refinance your mortgage soon?	Yes No
Do you (or someone you know) plan to buy a car anytime soon?	Yes No
By completing and submitting this Application For Membership (Clicking on the I Agree Button) You Agree to the following Terms and Conditions:

I/We authorize and grant you or any assignee limited power of attorney to make whatever credit and employment inquiries that may be deemed necessary in connection with this application for the American Consumer Credit Alliance (ACCA) Credit Score Improvement and Personal Financial Management Membership Program. ACCA is not a "credit repair company". Under Federal Law, it is illegal to make guarantees for "credit repair". The entire Fair Credit Reporting Act is posted on the ACCA Website. All work will be performed on a "best-efforts" basis with no guarantee on results. I/We agree to hold you and your employees, officers and agents harmless for any claims, suits, actions or demands arising out of this application and will not hold you responsible for any credit rating past, present, or future. I/We have read and understand the terms and conditions of this membership agreement. I/We acknowledge that I/we have three business days to cancel this application.

Now Available Globally on the World Wide Web at ... www.creditrepairplus.org Member Services / Processing Center 6191 W Atlantic Boulevard, Suite #3 Margate, Fl. 33063 Tel. (954) 972-4157 - Fax (954) 972-4143 E-Mail: info@creditrepairplus.org