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ALTA LAUD LLC
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Intake form
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Name
*
Email address
*
What services are you interested in?
Please select at least one option.
Credit repair
Credit building
Business formation
Funding
What is your current credit score?
Select
Below 580
580 - 669
670 - 739
740 - 799
800 and above
Have you previously worked with a credit repair service?
Select
Yes
No
What is your primary goal for credit repair or building?
What type of business do you want to form?
What is the estimated amount of funding you are seeking?
What is your preferred method of contact?
Select
Phone
Email
In-person
When do you plan to start working on your credit or business formation?
Select
Immediately
Within a month
Within 3 months
No specific timeline
Do you have any existing debts or loans?
Select
Yes
No
Please describe your current financial situation.
Which service or services are you interested in?
Please select at least one option.
Credit repair
Credit building
Business consulting and funding
Additional questions or comments
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