FREE CREDIT ANALYSIS

(With Required Credit Monitoring)

SECTION 1: BASIC INFORMATION

First Name

Last Name

Phone *

Email *

How Did You Hear About Us?

SECTION 2: CREDIT GOALS

How soon are you trying to accomplish this?

ASAP

Next 90 Days

6 months

SECTION 3: CREDIT MONITORING (REQUIRED)

Active credit monitoring is REQUIRED to complete your credit analysis.

Do you currently have active credit monitoring with MyFreeScoreNow?

Yes

I understand I must sign up for MyFreeScoreNow’s $1 / 7-day trial to proceed with my free credit analysis.

Yes

I understand the trial may be canceled at any time if I choose not to continue after the trial period.

Yes

I understand my credit analysis will not begin until credit monitoring is active.

Yes

Once monitoring is active, how will you provide access to your credit report?

Screenshot(s) of all three bureaus

Secure access / shared credentials (as instructed)

SECTION 5: ACKNOWLEDGMENTS & CONSENT

I understand this is a free credit analysis for educational purposes only and not credit repair services.

Yes

I understand no disputes or actions will be taken unless I enroll in services and sign a written agreement.

Yes

I confirm that all information provided is accurate and that I am requesting a credit analysis for my own credit file.

Yes

By checking this box, I agree that Kim Fix My Credit may contact me by phone, email, and SMS regarding my inquiry. Consent is not a condition of purchase. Reply HELP for help or STOP to opt out. This consent applies only to transactional messages. Marketing or promotional messages will be sent only with separate express written consent.

By clicking “Submit,” I authorize Kim Fix My Credit to obtain and review my credit reports for the purpose of a credit assessment. I understand that no upfront fees are charged and that services are billed only after services are fully performed. This submission acts as my electronic signature of consent.