Credit & Financial Services Intake

First name

Last name

Email

Phone

Preferred Contact Method

Best Time to Reach You

Service Interest

Please select the services you’re most interested in so we can better assist you.

Credit Status

These questions help us understand your starting point

What is your estimated credit score?

Have you ever filed for bankruptcy?

Yes

No

Are you currently working with another credit repair service?

Yes

No

Do you have recent collections, charge-offs, or late payments?

Yes

No

Goals

What are you hoping to achieve with our help?

Tell us a little about your current financial goals (e.g., buy a home, get approved for a car loan, reduce debt, etc.)”

: Consent

Please confirm your understanding and consent before submitting.”

I understand that Pinnacle Solutions Group will review my information to help recommend a personalized plan.

I consent to be contacted via phone, text, or email.