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Basic Membership *free Premium Membership
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Includes Includes Basic Membership Plus
  • Free Credit Repair
  • Free Debt Settlement
  • 50 Airmiles Reward Points
  • $25,000 Identity Theft Insurance - 12 months
  • Credit Protect Program - 12 months
  • Credit Monitoring - 12 months
  • 13 Point Credit
  • Monthly Credit Analytics
  • Credit Builders Program
  • Personalized Credit Coaching
  • Discount Referral Access with Our Affiliates
  • Free membership to
    freecreditfinder.com
    creditbinder.com
    zangconnect.com
First Name: *
Last Name: *
Middle Initial:
Date of Birth: *
Street Number: *
Street Name: *
Direction:
City: *
Province/Territory: *
Postal Code: *
Home Phone: *
Business Phone:
Mobile:
Email: *
AIR MILES:
Promo Code:
Describe known credit issues
or credit matters you would like resolved:
*
How did you hear about us? *
Eg: Newspaper, Facebook, Referral, Search Engine, Mortgage Broker, etc
Agent Code: *
Note: If you do not have an agent please type your postal code in the box and we will assign an agent to your region.
I hereby warrant and confirm that the personal information I have given in the above application form is true and correct and I understand that it is being used by Canada Credit Fix Inc. to evaluate my credit profile. The use of this application by Canada Credit Fix may be used for such reasons as initiating an account, membership or service plan. You are hereby authorized to obtain any information you may require for this purpose from other sources, including but not limited to credit bureaus (Equifax and or TransUnion) and credit collection agencies, and each source is hereby authorized to provide you with such information. I also understand, acknowledge and agree that the information given in the application form, as well as all other information you obtain in relation to my credit history may be disclosed to other service providers or institutions necessary for the evaluation of my credit history, including but not limited to technological and support services and any other parties with whom I propose to, or have been engaged in, a financial, credit or debt relationship. I further expressly acknowledge and agree that each service provider, or party I propose to have a financial relationship, or have been engaged in, to whom you provide the application or personal information from it, is permitted to receive such application and information and maintain records relating to me and my personal information and to hold, use, communicate and disclose personal information about me, including my Social Insurance Number (SIN), if I provide it, and collect/disclose personal information from me, you and from third persons, including credit bureau (Equifax and or TransUnion), credit reporting and collection agencies, institutions, financial institutions, my past/present employers, creditors, tenants, my spouse or any other person who has information about me for the purposes of recording, evaluating and responding to my application for credit profile evaluation or related activities and I specifically consent to the release and disclosure of personal information by such persons to and among you and each potential party or organization required to complete this process. I further expressly authorize and release from any liability, any mortgage broker, dealership of financier from whom I am currently communicating with, to release any and all personal information to Canada Credit Fix Inc., including but not limited, and credit bureau reports (Equifax and or TransUnion) that may have been obtained by them and providing such to Canada Credit Fix Inc. I consent to Canada Credit Fix sharing this collected information with affiliate agencies. I understand that by completing this application does not obligate Canada Credit Fix Inc or any of their affiliates to perform services or issue a membership either basic or premium. Canada Credit Fix reserves the right to refuse service and or membership.
* I have read and understand the terms and conditions.

         View Terms of Use & Disclosure Agreement/Contract
By typing my full legal name I agree to the terms and conditions as stated above in this application. *
  
Submitting this form will send your information to our credit repair specialists. You will not be billed for your application however you will be contacted by a credit repair representative promptly.  submission of your application does not mean we agree or obligate us to work on your file.

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Premium Membership Options
A. Pre paid Premium Membership
(12 month membership)
$995.00
$549.00 + GST
$0.00 Huge Savings!
B. Pay As You Go Membership
(Per-authorized Payment)
$595.00
$349.00 + GST
$59.00 + GST 12 payments
C. 3 payment Membership
(Per-authorized Payment)
(12 month membership)
$495.00
$299.00 + GST
$119.00 + GST 3 payments
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AIRMILES
50 AIR MILES reward miles per Membership




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