Credit Counseling & Consolidation can mean Financial Freedom for most people. This exclusive Debt Management Program has assisted thousands of people like yourself who are tired of paying high interest rates on their credit cards and living within the endless cycle of debt. You may apply whether or not you're on time, or behind on your bills.
 
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We can automatically debit your checking or savings account in order to assist you in making your monthly payments.  This means:

§         Creditors paid on time

§         No risk of late fees or delinquencies

§         No need to mail payments 5 days early

§         No rush to buy money orders

§         No Western Union fees

§         Quality service and convenience

The cost of this service is $6.00 per month and will be added to the regular payment amount.

The service can be discontinued at any time with a (30) day written notification.

If you would like to take advantage of this service, please complete the enclosed form and mail or fax it to us. Please include a voided check to insure that all banking information is correct. If you have any questions feel free to call us. 

 

Consumer Credit Counseling Services, Inc.

 ACH Authorization

I hereby authorize Consumer Credit Counseling Services, Inc.  to debit my account in the amount of $__________ plus $6.00 handling fee = $__________ Total; on the _____ day of each month beginning ____ / ____ / ____ (mm/dd/yy).

I understand that there will be a service charge of $29.00 for any non-sufficient funds transactions. CCCS will attempt to process NSF transactions three (3) times before notifying the client of non-payment on account.

 

Banking Information 

Bank Name:  
Bank Address:  
Bank Phone #:  
   
Name on Account:   
Routing # ( 9 digits ):  
Account #:  
   
Date:  
   
Client Name:  
   
Client Signature:  
   
 

                                                               

 

Text Box:        Attach a VOIDED CHECK AND FAX OR MAIL THIS FORM TO: Consumer Credit Counseling Services, Inc.