Quality Credit Services, Inc.
167 Summerfield Lane
Butler, KY 41006
Phone: 1-800-763-1580
Email: support@myfinancialadvantage.com

Debt Settlement  »  Free Consultation

Please provide us with the following information so that we can set up your account and begin providing you with our services. Please fill out the form below and one of our consultants will contact you as close to your schedule time as possible. The information you are providing below is strictly confidential and will not be redistributed or sold to any other parties.

Please Note: In order to qualify for the Quality Credit Services, Inc. Debt Settlement program you must have at least $8000.00 in unsecured debts to be settled.

First Name:
Last Name:
Phone:
Email Address:
Address:
City:
State:
Zipcode:
Date for Specialist to Call:
Specific Hour to Call:
FDI ID#:
FDI Trainer's ID#:
(if applicable)
Total Amount of Unsecured Debt Owed:
Are You Behind In Payments?:
Have Any Creditors Issued Judgements Against You?:
Have You Filed Bankruptcy?:
If Yes, When?:
In the last 6 months, have you:
Made Any Major Credit Card Purchases?:
Made Any Balance Transfers?:
Made Any Cash Advances?:
Comments: