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K&A Mobile Tax Credit Repair (FES)
UCES Protection Plan *Protection for your financial future*
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Email
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Your email
First, Last
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Your answer
Address (city, state, zip)
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Your answer
Number
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Your answer
DOB
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MM
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DD
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YYYY
Title
*
Your answer
Gender
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Female
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SSN
*
Your answer
Payment Information *$188 (one time setup fee $99 & Monthly Fee $89)*
The following questions will require your payment info.
Card Type
*
Visa
Master
American Express
Discover
Card Number
*
Your answer
Expiry Date *MM/YY*
*
Your answer
CVV Code
*
Your answer
BILLING ADDRESS AND CREDIT CARD ADDRESS MUST MATCH IN ORDER TO PROCESS
Card First Name
*
Your answer
Card Last Name
*
Your answer
Billing Address (city, state, zip)
*
Your answer
Terms & Conditions
Please Review and Check Off on the Following Terms:
Please accept my application and enroll me in the K&A FES Credit Repair Program. I understand that an automatic payment of $89 will be made from the account provided above each month.
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I have read and understand the Terms and Conditions of enrollment .
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