Miami Credit Queen Enrollment Form
*Please complete a separate enrollment application, using a completely separate email address, AND consultation appointment for each Joint account member (if applicable). Again, you must use different email addresses for each Joint member (if applicable).

Must be willing to commit to at least 6-9 months of service (service time may vary)

Account Type *
Choose Your Plan *
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Email *
Your answer
Phone Number *
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zipcode *
Your answer
Is your mailing address the SAME as your BILLING address? *
Billing Address
Your answer
In order to properly RESTORE and REBUILD your credit. You MUST enroll and MAINTAIN credit monitoring service will enrolled in the program.
Credit Monitoring Providers include: Identity IQ, Experian, Privacy Guard, etc. If you choose Credit Karma as your credit monitoring company you will also NEED to sign up for Experian credit monitoring service since Credit Karma only provides TransUnion and Equifax.
Credit Monitoring Company Login
Username
Your answer
Password
Your answer
Credit Repair is a process and requires commitment. Are you ready to START TODAY? *
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