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Confidential Information Form
Because our services are FREE, you will have to contact me, to save my time.
Please tell me a little about your situation before you contact me, this will save us time when we talk.
Ted Nelson - Cell phone: 715-432-7827 (10am-9pm CST) - Email:
TedNelson@EmailTed.com
Name
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First
Last
City, State
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Best phone number to reach you
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Email
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Approximate total of your unsecured debt?
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Current Payment Status?
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Behind on most monthly payments.
Barely keeping up.
Everything is current, I just want to pay it down faster.
It's a mess & I need help.
Click on one.
Current Job Statis?
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Employed.
Two income family, one has lost their job.
Employed, but income has dropped.
Unemployed.
Retired.
Other.
Click on one.
Which program are you interested in?
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Debt Settlement
Automatic Debt E-Racer
Both (Debt Settlement for unsecured, ADE for secured: mortgage, auto, etc.)
Don't know, I need advice.
Anything else you think we need to know (be brief):
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