Schedule Appointment with The Student Loan Doctor LLC

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First Name *

Last Name *

Phone *

Your E-Mail Address *

Notes to Business (your address or any special notes about your order)

Item	Quantity	Total
Full Service Gold Member	x $99.00	$134.00 $35.00 initial setup plus $99.00 every 2 weeks for 8 weeks ($431.00 total)
Total: $134.00	Coupon:

I agree that the purchase of this package must be used within 30 days of purchase and that this service is non-refundable. Services will be cancelled if client defaults on payment plan as agreed.