Jay$ko Capital - Credit Survey

First Name *

Last Name *

Email *

Phone *

Date of birth *

Why do you want credit repair? *

I need to buy a house for me and/or my family

I need to finance a car

A big life event is coming (Engagement, Pregnancy, Graduation, etc.)

I am building a business/investment portfolio and I need to qualify for loans

Are you currently behind on any bills? *

Yes

No

Are you on a payment plan with any collection agencies? *

Yes

No

Are you will to commit to a 6-8 month credit repair process? *

Yes

No

If referral, who were you referred by?

I would like to opt-in to weekly credit education emails

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from Jay$ko Capital. Message frequency varies. Message & data rates may apply. Text HELP to (205) 679-5836 for assistance. You can reply STOP to unsubscribe at any time.