Free Consultation

To begin your path to financial recovery, please complete the following application. Items marked with a black star * are required. This form will be sent directly to the USAvsDEBT staff and will be kept strictly confidential.

You must have at least $10,000.00 of unsecured debt to qualify for acceptance into our program.



FREE CONSULT FOR DEBT RELIEF

  Personal Information:
  First Name:  
  Last Name :  
  Email Address :  
  Phone :  
Referred By :
Total Unsecured Debt
(Include credit cards,medical bills, collection accounts, judgments , etc.):
 
    
* indicates required fields
By submitting this form you consent to receiving a telephone call
from USA VERSUS DEBT, Inc. Under TCPA Act (47 U.S.C. § 227) you
do not hold USA VERSUS DEBT, Inc. liable for any damages.