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• Free Consultation

• Coaching

Free Consultation What our Free Consultation will do for you... If you are interested in speaking with a debt elimination expert, you may contact us by phone, email, or through our Confidential Client Application form. There will be no obligation or cost, and we are happy to share any of our information with you for free. Please fill in your contact information below - the time to get started is NOW! We will call you within 24-48 hours to confirm your consultation request. Please remember that ALL information shared is confidential. Items marked with a * are required. Contact Information Who have you spoken with? Who is your consultant? Or to whom were you referred? * Pick one below NobodyEileen CookLee Cook How did you hear about us? * Pick one below Internet SearchTelevision AdRadio AdMail FlyerNewspaperReferral First Name: * Last Name: * Email Address: * Best Phone # to reach you: * Best Time to Call * Pick one below Any Time8AM - 10AM10AM - NoonNoon - 2PM2PM - 4PM4PM - 6PM6PM - 8PM8PM - 10PM Current Debt Situation Approximately how much credit card debt do you have? * Pick one below $0 - $12,000$12,000 - $18,000$18,000 - $25,000$25,000 - $40,000$40,000 - $70,000$70,000 - $100,000$100,000 - $150,000$150,000 or more Are you current with the monthly payments? * YesNoSome are and some are not If behind, how far? * N/ALess that 30 days30 - 60 days60 - 90 days3-6 months6 - 12 months1 - 2 yearsMore than two years Do you have credit available or are you completely maxed out? * None$0 - $500$500 - $1,000$1,000 - $2,000$2,000 - $3,000$3,000 - $5,000$5,000 - $10,000$10,000 or more Can we mail you FREE Information? Please allow us to send you some FREE material that will help you understand the DRES process even further. Simply complete your mailing address here: Mailing Address: City, State, Zip: How urgent is your specific situation? No answerExtremely Urgent - Facing ForeclosureVery Urgent - Considering BankruptcySomewhat Urgent - Need to act soonNot Very Urgent - Researching Options Is there any other information we should know about? Just write any additional notes in the box provided below so we can determine more quickly if the DRES process is right for you & your family.