You can now make monthly payments for credit repair service in 4 easy monthly payments. You must speak with one of  CIS Credit Experts before subscribing to the 4 monthly payment agreement.

Toll Free: 866-CIS-1194 or contact us

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AUTHORIZATION TO CHARGE CREDIT CARD

Name on Card: ______________________________________

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Company Name: ______________________________________

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Email Address: ______________________________________

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Billing Address:__________________________________________

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Credit Provider: ______________________________________

« please fill in

Credit Card Number: ______________________________________

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Expiration Date: _______________________CVV:__________

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I authorize CIS Credit Improvement Services to debit my credit card as a monthly recurring charge for credit improvement services rendered at the agreed price________ My down payment is ______ for a total of _____for CIS's services. Any charges made to the credit card above under this agreement will constitute in effect a “sales receipt”; and that services were rendered and received and is therefore non refundable. Should I dispute a charge through my credit provider this will constitute a breach of this agreement and will result in immediate deletion/deactivation of all current services.

I have included a photocopy of the credit card both front and back and have signed the photocopy.

Signature ______________________________________

Date ________________                                                                            


INSTRUCTIONS

Please print, sign, date, fax or email to CIS (866-406-8688) -creditimprovementservices@gmail.com

Mail original to CIS at address included below.

CIS
P.O.Box 300952
Kansas City MO, 64138
USA

Toll Free:  866-CIS-1194

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