Fill and Sign the Debt Management Program Agreement Form

AGREEMENT FOR CREDIT COUNSELING SERVICES _______________________________________ (Name) CREDIT COUNSELING SERVICES EMPOWERING PEOPLE FOR CHANGE The goal of our counseling services is to individually design a unique solution for the needs of our clients. Counselors, certified by ___________________________________ (name of certifying agency) will evaluate your personal situation, and assist you in creating a plan of action. We provide clients with counseling seminars that educate and provide personal empowering tools that will enable them to make responsible decisions and set a course for a healthy stable and successful future, Thank you in advance for you decision of change. AGREEMENT FOR COUNSELING SERVICES 1.I understand that D.A.F .I.R.M Service Department will provide a confidential personal consultation from which an individual plan of action will be designed to address my personal need. 2. We are counselors that may answer questions regarding seminar of choice, but not give legal advice. 3.I agree to hold ____________________________________ (Name) Counseling Services, its employees, agents, volunteers, officers, and directors harmless from any claim, suit, action or demand of my creditors, myself, or any other person resulting from advice or counseling. 4.I understand that while this counseling service has an affiliation with __________ ____________________________________ (Name of Company) , I am under no obligation to purchase services or products from __________________________ _______________________ (Name of Company). 5. I understand there will be a seminar/counseling fee of $ ______________ and that this fee is not refundable._______________________________ DATE: _______________________ CLIENT’S SIGNATURE_______________________________ DATE: _______________________ CLIENT’S SIGNATURE