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From: Barret Singer (topbiz2020yahoo.com)
Date: Wed Mar 28 2001 - 06:06:01 CST

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    FREE DEBT CONSOLIDATION HELP!

      
        
          
            

              
              
                
                  
                    
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            FREE award
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            All applications
            are confidential.
            There is absolutely NO
            obligation for filling out
            this form
            and receiving a FREE
            debt analysis.
            NOTE: 
            Please do not list
            Home Loans, Auto Loans, or Student Loans. You must be at least $50
    00.00
            in debt to qualify and must reside in the United States. Please
    take the
            time to fill out the form as accurately as possible, the more
            information we have about your situation the better we can serve
    you.
            ** The form must be
            filled out completely and you must be at least 18 years of age. **
            

              
                
                  
                    Name:
                    
                    
                    
                  
                  
                    Address:
                    
                    
                    
                  
                  
                    City:
                    
                    
                    
                  
                  
                    State:
                    
                    
                        AL
                        AK
                        AR
                        AZ
                        CA
                        CO
                        CT
                        D.C.
                        DE
                        FL
                        GA
                        HI
                        IL
                        IN
                        IA
                        KS
                        KY
                        LA
                        MA
                        MD
                        ME
                        MN
                        MO
                        MS
                        MT
                        NC
                        ND
                        NE
                        NH
                        NJ
                        NM
                        NV
                        NY
                        OH
                        OK
                        OR
                        PA
                        RI
                        SC
                        SD
                        TN
                        TX
                        UT
                        VA
                        VT
                        WA
                        WI
                        WV
                        WY
                      
                    
                  
                  
                    Zip:
                    
                    
                    
                  
                  
                    Day
                      Phone:
                      (please
                      be sure to include your area code)
                    
                    
                    
                  
                  
                    Evening
                      Phone:
                      (please
                      be sure to include your area code)
                    
                    
                    
                  
                  
                    Best
                      Time of Day To Call:
                      (please
                      be sure to include your time zone)
                    
                     
                    
                  
                  
                    Email
                      Address:
                      (yournamesomewhere.com)
                    
                    
                    
                  
                  
                    Subscribe
                      me to your FREE
                      award winning debt consolidation email
                      newsletter
                    
                    
                      
                        
                        
                          
                            
                             Yes  
                            
                             No
                          
                        
                        
                      
                    
                    
                  
                  
                    Approximate
                      total amount owed to creditors:
                    
                    $
                    
                  
                  
                    Is
                      this business or personal debt?
                      (Either
                      is acceptable)
                    
                      
                        

                        
                          
                            
                             Personal  
                            
                             Business
                          
                          
                            
                             Both
                            
                            
                          
                        
                        
                      
                    
                  
                  
                    Name
                      of creditor or bank:
                      (do
                      not give account number)
                    
                    
                      Creditor #1
                      
                      Amount Owed to Creditor#1
                      
                      Monthly Payment
                      
                      Type of Debt
                      
                        Please Select One
                        Credit Card
                        Personal Loan
                        Loan
                        Line of Credit
                        Leased Equipment
                        Purchased Equipment
                        Overdraft Protection
                        Payday Loan
                        Unpaid Checks
                      
                      How Many Months Are You Behind?
                      
                      *********
                      Creditor #2
                      
                      Amount Owed to Creditor#2
                      
                      Monthly Payment
                      
                      Type of Debt
                      
                        Please Select One
                        Credit Card
                        Personal Loan
                        Loan
                        Line of Credit
                        Leased Equipment
                        Purchased Equipment
                        Overdraft Protection
                        Payday Loan
                        Unpaid Checks
                      
                      How Many Months Are You Behind?
                      
                      *********
                      Creditor #3
                      

                      Amount Owed to Creditor#3
                      
                      Monthly Payment
                      
                      Type of Debt
                      
                        Please Select One
                        Credit Card
                        Personal Loan
                        Loan
                        Line of Credit
                        Leased Equipment
                        Purchased Equipment
                        Overdraft Protection
                        Payday Loan
                        Unpaid Checks
                      
                      How Many Months Are You Behind?
                      
                      *********
                      Creditor #4
                      
                      Amount Owed to Creditor#4
                      
                      Monthly Payment
                      
                      Type of Debt
                      
                        Please Select One
                        Credit Card
                        Personal Loan
                        Loan
                        Line of Credit
                        Leased Equipment
                        Purchased Equipment
                        Overdraft Protection
                        Payday Loan
                        Unpaid Checks
                      
                      How Many Months Are You Behind?
                      
                      *********
                      Creditor #5
                      
                      Amount Owed to Creditor#5
                      
                      Monthly Payment
                      
                      Type of Debt
                      
                        Please Select One
                        Credit Card
                        Personal Loan
                        Loan
                        Line of Credit
                        Leased Equipment
                        Purchased Equipment
                        Overdraft Protection
                        Payday Loan
                        Unpaid Checks
                      
                      How Many Months Are You Behind?
                      
                      *********
                      Creditor #6
                      
                      Amount Owed to Creditor#6
                      
                      Monthly Payment
                      
                      Type of Debt
                      
                        Please Select One
                        Credit Card
                        Personal Loan
                        Loan
                        Line of Credit
                        Leased Equipment
                        Purchased Equipment
                        Overdraft Protection
                        Payday Loan
                        Unpaid Checks
                      
                      How Many Months Are You Behind?
                      
                      *********
                      
                    
                    
                  
                  
                    Please
                      enter a short description of your debit/credit problem:
                    
                    
                    
                  
                
              
            
            
             
        
      

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