Enrollment Application

Are you a decision maker pertaining to lead generation? *
What type of leads are you looking for? *
 
What type of leads are you looking for? *
 
What’s your biggest challenge with lead generation currently?
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Monthly Budget Range You're Looking At *
How soon you want to implement the project? *
 

Entity 2



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Business Ownership Details

Owner 1


Owner 2


Owner 3


Owner 4


About Your Business

Who is your outside counsel?


List all your active websites *
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How do you advertise? (check all that apply) *
 
Do you claim exemption from state law requirements? *
Does your company negotiate the debts? *
Do you outsource your negotiations? *
Do you collect advanced fees from clients? *
Do you solicit or cold call Consumers? *
Does it have call recording capability? *
Which business models do you use? *
 

Where Do You Do Business?

Please select "N/A" if you do not do business in a state *
  I do business in Licensed Exempt N/A
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC

Organization Overview

Do you have a Compliance Officer? *
Do you plan on hiring a Compliance Officer as a result of offering this product? *
Has company, including the principal(s) and controlling person(s) of the entity with 10% or more ownership interest in the entity, ever been subject to enforcement action (including investigation, inquiry, revocation of license, settlement, or lawsuit) by a state or federal government agency? *
Has company, including the principal(s) and controlling person(s) of the entity with 10% or more ownership interest in the entity, ever been subject to material litigation alleging consumer fraud or noncompliance with consumer protection laws? *
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Signature *
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Code of Conduct

  1. DSC Merchant shall comply with all federal and state laws regulating credit advocacy and debt relief services, including, but not limited to, the 2010 FTC Rules for debt relief providers.
    1. The FTC Rules, among other things, only permit fees to be charged after:
      1. A written agreement is entered with a consumer;
      2. A settlement or result is obtained; and
      3. The consumer authorizes and accepts such result.
    2. Any DSC that is charging Advance Fees for debt relief services will not be eligible for enrollment in LUSA’s DSC Merchant Program.
  2. Communications with clients and the public shall be honest and truthful.
  3. Agreements and services shall be conducted in good faith.
  4. DSC Merchants shall advocate solely on behalf of the client and shall not accept compensation, fair share, contributions or donations from creditors.
  5. Fees charged for services provided to clients shall be fair and reasonable.
  6. Representations regarding the services and potential outcomes of the service that DSC Merchant provides to consumers shall be fair and accurate.
  7. Estimates used in setting up a program for consumers such as the total cost and program length shall be based on historical and substantiated data.
  8. DSC Merchants shall clearly and conspicuously disclose both the risks as well as the benefits of credit advocacy to individuals enrolling in programs.
  9. DSC Merchants shall clearly and conspicuously explain what fees are charged for their services, how the fees are charged and when such fees are earned.
  10. DSC Merchants shall protect the privacy of personal information of clients and prospective clients.
  11. In addition to the above, DSC Merchants shall abide by the rules and program guidelines contained in LUSA’s DSC Merchant Program.

On behalf of the below listed DSC Merchant, i affirm that we commit to the above Code of Conduct for the DSC Merchant’s actions and conduct in the operation of our company. *