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  Primary Contact Second Contact (optional)
First Name:
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Cell Phone:
Email: *
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Address:
Not a PO Box, must be the same as will appear on your Credit Report.
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Optional Information, check boxes if yes:  
Do you have a current copy of your Credit Report? Yes
Do you currently own a home? Yes
Have you reviewed your insurance needs in the past 12 months? Yes
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Our file set up cost is $295.00, then $100.00 a month will maintain your account for up to 11 additional months, depending on your individual needs. If you are a couple the file set up cost is $345 and the monthly maintenance is $150.