Assisting Consumers in Becoming Debt Free

Your freedom from debt is just a phone call away...

1-877-255-4203

 
 
Receipt for Services Rendered
Assisting Consumers in Becoming Debt Free
Lower Interest Rate Consulting
250 S Ronald Reagan Blvd. # 114
Longwood, FL 32750
Phone: 1-888-287-9075
Fax: 407-830-4002

 

It has been our pleasure to have assisted you thus far in our shared mission of becoming debt free! We thank you for being a valued client & do look forward to our ongoing work with you as well as our continued negotiations with your creditors.
Please take a few moments to fill out this necessary form to keep for our records within your personal portfolio.
Upon the receipt of this form we will be mailing out your Personalized Financial Savings Analysis, which will allow you to reference the payment schedule that you & your financial strategist have formulated, as well as a detailed breakdown of the work done on your accounts to date, money & time saved, a look at the before & after comparison & more!
Please sign your name & date below, in agreement to the following statements:
I recently enrolled with LIRC via the debt reduction financial planning program, which included a guaranteed minimum savings of ($2,500.00) for a one-time cost of ($1,298.00) which was successfully billed to my credit/debit card & will appear on my billing statement as LIRC or Lower Interest Rate Consulting.
I have since been shown the guaranteed savings of ($2,500.00), & thus the enrollment fee of ($1,298.00) has been rightfully earned & the service fully & satisfactorily rendered in accordance with the terms of our agreement. LIRC will continue to work on my accounts every 3 to 6 months per my request
 

Your First Name:
Your Last Name:
Your Email Address:
Last 4 Digits of SSN:
Image Verification
captcha
Please enter the text from the image:
[ Refresh Image ] [ What's This? ]

This form creates an electronic signature, by typing your information

and clicking submit you confirm that you do understand because the

savings has been met you cannot cancel and or receive a refund.

I Agree to the terms and conditions above

If you would like to print this receipt, please do it before you press Submit

        

 

 

 
 
 
 
Designed by: AbilityWebs.com