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Basic MVP Marketing & Investment Group Customer Enrollment Agreement

Primary Applicant information

* Indicates Required Field Input

First Name *

Middle Ini.

Last Name *

Social Security # *

Date Of Birth *

(mm/dd/yyyy)

Street Address *

Apt/Suite #

City *

State *

Zip Code *

Home Phone # *

Cell Phone #

Work Phone #

Email Address *

Please sign me up for the Free 6-week online course “Where Does All My Money Go?”
(Note: The customer has 3 months to register for the course)
No Thanks. I don’t want to take the Free 6-week online course.
(Note: The customer will not be able to register for the course in the future)

Login Information (Online Course)

Username: *
(Usernames must be at least 6 characters and must begin with 2 letters. Usernames may only contain numbers and letters. Username is case sensitive)
password: *
(Passwords must be at least 6 characters and must contain at least 1 number. Password is case sensitive) Note: You can edit your username and password once your profile is complete
Security Question: What high school did you attend? *

Secondary Applicant information (If Applicable)

First Name

Middle Ini.

Last Name

Social Security #

Date Of Birth

(mm/dd/yyyy)

Street Address

Apt/Suite #

City

State

Zip Code

Home Phone #

Cell Phone #

Work Phone #

Email Address

Login Information (Online Course)

Username:
(Usernames must be at least 6 characters and must begin with 2 letters. Usernames may only contain numbers and letters. Username is case sensitive)
password:
(Passwords must be at least 6 characters and must contain at least 1 number. Password is case sensitive) Note: You can edit your username and password once your profile is complete
Security Question: What high school did you attend?

I UNDERSTAND THE TERMS AND CONDITIONS. PLEASE ENROLL ME IN Basic MVP Marketing & Investment Group Credit Restoration Program. Basic MVP Marketing & Investment Group will assist me to correct or remove inaccurate, outdated or unverifiable entries on my credit report. I will receive dispute letters and a series of status reports through dispute cycles.

Sponsor IBO Name: *

Sponsor IBO ID #: *

Payment Information

Account will be automatically debited on or around the first of each month based on the payment schedule below. The first payment (Month1) will be debited once the payment is submitted. Select the credit restoration program, then submit your payment.

	Credit Restoration-Single	Credit Restoration-Double
	$699.00	$1,250.00
Month 1	$375.00	$700.00
Month 2	$64.80	$110.00
Month 3	$64.80	$110.00
Month 4	$64.80	$110.00
Month 5	$64.80	$110.00
Month 6	$64.80	$110.00