Sign Up Form First & Last Name*Phone # (Including Area Code)*Email Address*Language? Note: If Spanish, all written documents will be done in English. However, we will send copies to the client in Spanish, if requested.* English Spanish How did you hear about us?*How is your Credit?* Good Fair Bad Little or No Credit Not Sure Gross Monthly Income? Note: If you have a low income consider using a co-applicant to help boost your income. Housing normally requires your income to be 3x payments. Market pricing for housing depends on location.*Will you be using a co-applicant to help qualify for housing? YES/NO Note: If Yes, please list their name here.*What is preventing you from getting approved for Housing/Loan? (Credit, Down Payment, Tax Lien, Other?) Please Explain:*Have you Ever Been Evicted or filed Bankrupty?*YesNoIf YES, on Eviction or Bankruptcy. Please provide dates and details. OR N/A.*If seeking Housing, What are your areas of interest? (City, State & Zip Codes). OR N/A.*If seeking Housing, What is the max payment you can afford? Note: Be realistic as the market will demand a certain price range based on location. OR N/A.*If seeking Housing. Please indicate how much money you have saved to put towards a down payment or move in costs. OR N/A.*Please Provide Name & Phone # of Emergency Contact.*Important Note: The amount of time it takes to get you into a home soley depends on your situation. We may need to work on a few things first before you are ready. In most cases, this can be done quickly. Please choose one of the following*I am not ready to start looking at homes just yet. I would prefer to be advised when you think I am ready to start looking once I am "loan ready". (Purchase using a bank or lender) This is the best option and recommended by HSHI am ready now. (Rentals / Rent to Own) Note: Many landlords, Property Managers and Lenders require a credit score of 580-620. If your scores are below 600, not to worry, we will focus on credit and use affidavits/LOX to assist with approval. Note: If you are in a RUSH then enroll now without delay!I do not need help locating a home, but need help with my credit.PRICING OPTIONS:*Option #1: Home Ownership Program - Pay $500 in full. (Save $100)Option #2: Home Ownership Program - Pay Initial $100 and make 4 bi-weekly payments of $125Option #3: Credit Only - Pay $350 in Full. (Save $50)Option #4: Credit Only - Pay Initial $100 and make 2 bi-weekly payments of $150.Option #5: Advisory Service - $500 (Ex: Small Business Loan Prep; Special Problem Resolution)Option #6: Extended Advisory Service - $1,000+ (Ex: Large Business Loan Prep/Setup; Business Advisory Services)Note: Married Couples who enroll in the Home Ownership Program together and BOTH need credit repair can have the 2nd person enroll for "Credit Only" program, thus saving you money. Name As It Appears On Credit or Debit Card for Payment:*Billing Zip Code*Credit / Debit Card Number*Card Expiration Date*Card CVC/CVV2 Number:*Billing will reflect a charge from Storm Crow Investments, LLC. You further authorize us to charge your credit/debit card for the number of payments you chose with your payment option. Payments to start on or about today's date. Please type your name below as a digital signature that you Agree & Understand.*You affirm you have read and agree to the Terms and Conditions of the Home Ownership Program* Yes, I agree to the Terms and Conditions of the Home Ownership Program as published on this website. For RUSH service, refer someone who needs a home and/or help improving their credit? Indicate their name, email and phone # below.*Comment Box: List any questions or comments here.* This iframe contains the logic required to handle Ajax powered Gravity Forms.