2 Minute Short Application is a great way to get us your information very easily.

CONGRATULATIONS!!!

You have decided to take the first step toward Financial Freedom!!!

This will only take a minute or two.

ALL INFORMATION OBTAINED IS STRICTLY CONFIDENTIAL AND
WILL NOT BE USED BY ANYONE OUTSIDE OF HAYS CONSULTING,
LLC.

FREE Debt Melt-Down Analysis Short App Form

For us to give you the best service possible we will need all the
information ACCURATELY filled in below. The (TAB Key) moves you
from one line to another. All (*) fields are required. If the line doesn't
apply to you please put (N/A). If you have any questions while filling
out the application please call us @ (816) 795-7878.

AT THE END OF THE APPLICATION PLEASE
HIT SUBMIT AND YOUR INFORMATION WILL BE FORWARDED TO
US AND SOMEONE WILL GET BACK IN TOUCH WITH YOU AS SOON
AS POSSIBLE.

THERE IS NO COST OR OBLIGATION FOR THIS FREE ANALYSIS.
WE ONLY MAKE MONEY IF WE ARE ABLE TO HELP YOU SAVE MONEY!

THANKS AGAIN AND CONGRATULATIONS ON TAKING YOUR FIRST
STEP TOWARDS "FINANCIAL FREEDOM."

2 Minute Short Application

*Name:
*Email:
*Phone:
*Address:
*City:
*State:
*Zip Code:
*Date of Birth:
*S.S.#:
*I/We Authorize Credit Pull (Y/N):
*Spouse's Full Name:
*Spouse's Date of Birth:
*Spouse's S.S.#:
Comments and Questions:

Note: Fields with an * are required