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Housing Form

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Get a personal one-on-one housing counseling session with one of our U.S. HUD certified housing counselors.

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By clicking “Agree & Free Evaluation” below, I, , who provided the personal information above, am affixing my electronic signature, governed by , and agree to give Consolidated Credit, a Florida non-profit credit counseling organization, my express signed prior written consent to authorize Consolidated Credit, and direct representatives calling on its behalf to contact me via telephone calls or mobile device messages (including marketing calls and messages through by autodialing, text and pre-recorded messaging, AI generative voice, SMS, and MMS), even if your telephone number is currently listed on any internal, corporate, state or federal Do-Not-Call list. Msg. and data rates may apply, and you may opt out of text messages at any time by texting STOP. Further, by providing my e-mail above, I give and authorize Consolidated Credit, my express written consent, to receive electronic communications, including periodic emails with important news, financial tips, tools and more from Consolidated Credit. I understand that I can always withdraw my consent or unsubscribe at any time. I acknowledge that my consent is not required to obtain goods or services from Consolidated Credit, and that I may choose to call Consolidated Credit’s representative instead at (844) 276-1544.

E-Sign Disclosure

DISCLOSURE: For the Consumer’s convenience, this is a copy of the E-sign Act Disclosures included in the TCPA Disclosure located in the form you signed and submitted to Consolidated Credit in order that Consolidated Credit will contact you about Consolidated Credit’s services. Please be advised that the “Agree & Free Evaluation” button reference in this Copy is our template action button, and that the action button you pressed when submitting the form may contained a different acceptance language. Being that this is a copy of the E-Sign Act Disclosures, there is no action to be taken by you. You may print and save this form for your records.

Consent to Use of Electronic Records and Signatures

You have the opportunity to complete and sign documents, as well as receive notices and other documents related to your Submission Form and interaction with Consolidated Credit, in electronic rather than paper form. To agree to these uses of electronic documents and signatures, and to sign this document with the same effect as physically signing your name, click the “Agree & Free Evaluation” button on the bottom of the form on the page after reviewing the information below.

In order to sign, complete and receive documents electronically you will need the following:

A personal e-mail address
A computer or other device with standard e-mail software
Current version of Chrome, Firefox, Edge or Safari
A connection to the internet
A printer if you want to print paper copies

Alternatively, you may choose to contact Consolidated Credit, through a phone call, and you may submit any request for services through paper versions of the documents.

By clicking “Agree & Free Evaluation” on the bottom of the form on the page after reviewing the information herein, you consent to electronically sign, complete and receive documents relating to your application for information and interaction with Consolidated Credit, during both this session and any future sessions relating to this process. Additionally, you consent to electronically receive: communications relating to your application and interaction with Consolidated Credit, including requests for additional information; notices of actions taken required by law; and notices of your rights under applicable laws. Your consent applies to documents completed, signed or provided via this website, as well as to documents transmitted via email.

If your contact information changes, please update your information with Consolidated Credit, by contacting Consolidated Credit as provided below. Further, you have the right to withdraw your consent at any time by contact Consolidated Credit. You may update your information or withdraw your consent by: calling Consolidated Credit, at 1-800-728-3632 by e-mailing at [email protected], or by writing to: 5701 West Sunrise Blvd, Fort Lauderdale, FL 33313

If you withdraw consent, you will no longer have the ability to sign documents electronically and to receive disclosures and other documents electronically. Your withdrawal of consent is prospective only and will become effective after we have had a reasonable opportunity to act upon it. After withdrawing your consent, please also contact the company representative who sent you this request to make arrangements to receive paper copies of documents and communications.

After consenting, you can obtain copies of documents and communications relating to your application and interaction with Consolidated Credit, by using your browser to print paper copies or save electronic copies of documents or screens during this session and future sessions.

I understand that by typing my name where indicated in the form, providing my email and phone number, and then clicking on “Agree & Free Evaluation”, You consent to the use of electronic records and signatures in the manner described above, and the electronic storage of such documents.

Housing Form

Dear ##first_name##,

Get a Personalized Housing Consultation Today!

E-Sign Disclosure