{COMPANY NAME}
{COMPANY ADDRESS}
{COMPANY CITY}, {COMPANY STATE} {COMPANY POSTCODE}
Prepared for:
{CLIENT NAME}
{CLIENT ADDRESS}
{CLIENT CITY}, {CLIENT STATE} {CLIENT POSTCODE}
{CLIENT DATE OF BIRTH}
{TODAYS DATE}
The following pages contain:
Fee Box
In exchange, I, {CLIENT NAME}, agree to pay the following fees as outlined in the following fee schedule:
(Enter Your fees and services below and delete this line.)
Please make note Company may hire and/or sell Client's account to a collection agency (if need be) and this could reflect negatively on Client's credit report. Furthermore, if Client's account is terminated, then Client grants Company the right to retract any disputes submitted on Client's behalf so that any improvements made to Client's credit reports (during non-payment and/or canceling/termination of account) may be reversed.
*Digital Signatures: In 2000, the U.S. Electronic Signatures in Global and National Commerce (ESIGN) Act established electronic records and signatures as legally binding, having the same legal effects as traditional paper documents and handwritten signatures. Read more at the FTC web site: http://www.ftc.gov/os/2001/06/esign7.htm