Full name
Address
Town
Postcode
Please provide at least one phone number
Home phone
Work phone
Mobile phone
Best contact time	Immediately Between 9am and 11am Between 11am to 1pm Between 1pm to 3pm Between 3pm to 5pm Between 5pm to 7pm Between 7pm to 9pm
Email address
Total amount of debt owed	- Please select - £50,000+ £40,000+ £30,000+ £20,000+ £15,000+ £5000+ £3000+
Current monthly payments	- Please select - up to £180 £180-£350 £350-£500 over £500
Employed	Yes No
Net household income per month	- Please select - under £500 £500-£1000 £1000-£2000 £2000-£3000 £3000-£5000 over £5000
Number of people owed to	- Please select - 1-2 3-6 7-9 10+
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With an individual voluntary arrangement, you could get up to 75% of your debt written off. We will be able to assist you every step of the way and do all the hard work for you, bringing you one step closer to becoming debt free. Alternatively, a debt management programme might be right for you. Under a debt management programme, you can arrange payment holidays or have your debts frozen. You can cut your monthly payments back to what you can afford and so slowly help yourself get on top of things again and take back control of your financial life!

debt consolidation programme * consolidating debt * information help advice, * individual voluntary arrangement * our debt consolidation programme can help you become debt free in 60 months.







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