Community Credit Counselling

Knowing and understanding that credit problems are one of the leading causes of stress; our credit counselors are carefully selected with patience as an important credential. Whether it is counseling you through credit issues or helping you consolidate your bills, each and every counselor can help. *Please fill out all fields so that we may help you better when our counselor contacts you.*

Name First Last
Phone - (###) - ### ####
Cell Phone - (###) - ### ####
Email
Enter the best time to contact you.

Enter the best time for a counsellor to contact you to discuss your case.
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
What is the total amount of your credit card and unsecured debts?

Total amount of debt includes credit cards and lines of credit.
Do you own or rent your home? Rent Own
Is your mortgage current or past due? Current Past Due In Default
Are you currently receiving collection calls from Creditors / Collection Agencies? Yes No
Briefly describe your financial circumstance and debts.
Average Number of Months past due on your payments.
How did you hear about us?
Type the letters you see in the image below.