• $200.00 Sign Up Free* (Card on File will be charged on date of your choosing)

  • $100.00 monthly, for duration of program.

  • *You will not be charged for the program until after you have signed and returned your contract and services have started.

  • SMART CREDIT $4.99 to Start (7 Day Trial), Then $21.99 Thereafter.

Enter your Personal Information:
Referred By: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Name (As it appears on your credit card) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Address ( Enter your Credit Card Billing Address) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
PLEASE ENTER YOUR CREDIT CARD INFORMATION:
Name on Credit Card {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
IS YOUR CREDIT CARD Postal Address the same as your Billing Address? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

Credit Card Billing Address:

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
YOUR CREDIT REPAIR SERVICE FEE’S EXPLAINED:
  • MONTHLY PROCESSING FEE: $100.00 PER MONTH (PAYABLE 30 DAYS FROM INVOICE DATE AND EVERY MONTH AFTER THAT, ON THE WITHDRAWAL DATE SPECIFIED BELOW UNTIL YOU CANCEL)
  •  FIRST WORK FEE: $200.00 ONE TIME NON-RECURRING FEE (PAYABLE AS SOON AS CONTRACT IS SENT TO YOU.NORMALLY WITH-IN 24 HOURS

SELECT THE DAY OF THE MONTH YOU WOULD LIKE BK CREDIT CONSULTANTS TO WITHDRAW. YOUR MONTHLY FEE’S: Recurring Withdrawal DATE OF THE MONTH

{ binding firstError.message }

ENTER A # FROM 1- 31. REPRESENTING THE DAY, YOU WOULD LIKE BK CREDIT CONSULTANTS TO WITHDRAW YOUR MONTHLY PROCESSOING FEE

{ binding firstError.message }

I HEREBY UNDERSTAND THE SERVICE AND THE FEES OF MY CREDIT REPAIR SERVICE AND AUTHORIZE BK CREDIT CONSULTANTS TO CHARGE THE CREDIT CARD MENTIONED IN THIS FORM FOR THE AUTHORIZED AMOUNTS TODAY AND EVERY MONTH MOVING FORWARD UNITL I CANCEL MY CREDIT REPAIR SERVICE. I UNDERSTAND THAT MY INFORMATION WILL BE SAVED ON FILE FOR FUTURE TRANSACTIONS ON MY ACCOUNT.  I ALSO UNDERSTAND THAT I WILL BE INVOICED $200.00 (TWO HUNDRED DOLLARS) AFTER BK CREDIT CONSULTANTS SENDS ME THE CREDIT REPAIR CONTRACT AND $100.00 PER MONTH, STARTING IN 30 DAYS ON THE WITHDRAWAL DATE UNTIL I DECIDE TO CANCEL MY CREDIT REPAIR SERVICE WITH BK CREDIT CONSULTANTS. 

SMART CREDIT:
Do you currently have a Smart Credit Account? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

To Create Your Account on SmartCredit Please Click on CREATE MY SMART CREDIT ACCOUNT

{ binding firstError.message }
{ binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }

Please take a clear picture of proof of residency. Dated Utility Bill or Financial Statements with current address

{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }

Please take a clear picture of your Social Security Card.

{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }

Please take a clear picture of your State Identification or Drivers License/

The email has been sent.

Your progress has been saved.

{ binding firstError.message }

  • $200.00 Sign Up Free* (Card on File will be charged on date of your choosing)

  • $100.00 monthly, for duration of program.

  • *You will not be charged for the program until after you have signed and returned your contract and services have started.

  • SMART CREDIT $4.99 to Start (7 Day Trial), Then $21.99 Thereafter.

Enter your Personal Information:
Referred By: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Name (As it appears on your credit card) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Address ( Enter your Credit Card Billing Address) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
PLEASE ENTER YOUR CREDIT CARD INFORMATION:
Name on Credit Card {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Credit Card Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
MM {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
YY {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
CVC Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
CREDIT CARD TYPE {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
IS YOUR CREDIT CARD Postal Address the same as your Billing Address? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Credit Card Billing Address:

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
YOUR CREDIT REPAIR SERVICE FEE’S EXPLAINED:
  • MONTHLY PROCESSING FEE: $100.00 PER MONTH (PAYABLE 30 DAYS FROM INVOICE DATE AND EVERY MONTH AFTER THAT, ON THE WITHDRAWAL DATE SPECIFIED BELOW UNTIL YOU CANCEL)
  •  FIRST WORK FEE: $200.00 ONE TIME NON-RECURRING FEE (PAYABLE AS SOON AS CONTRACT IS SENT TO YOU.NORMALLY WITH-IN 24 HOURS

SELECT THE DAY OF THE MONTH YOU WOULD LIKE BK CREDIT CONSULTANTS TO WITHDRAW. YOUR MONTHLY FEE’S: Recurring Withdrawal DATE OF THE MONTH

YOUR MONTHLY FEE’S: Recurring Withdrawal DATE OF THE MONTH {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
I AGREE {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
SMART CREDIT:
Do you currently have a Smart Credit Account? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

To Create Your Account on SmartCredit Please Click on CREATE MY SMART CREDIT ACCOUNT

Smart Credit Username {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Smart Credit Password {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Proof of Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
Proof of Social Security {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
Proof of Identity {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }