Bankruptcy Kit Order Form

Thank you for your interest in purchasing our Bankruptcy Kit. You can purchase the kit by by using the order form below. We accept all major credit cards including bank debit cards. You can also purchase the Bankruptcy Kit via PayPal, certified check, or money order. The form below is only for those paying by credit card or debit card. For those paying by PayPal, please click here. To pay by certified check or money order, please click here. The total cost for the bankruptcy kit is $300. This includes all of the forms required for filing bankruptcy. Please feel free to contact us via e-mail at info@brumgmt.com or by telephone with any questions or concerns that you may have.

First Name: Last Name:

Address:

City: State: Zip Code:

Today's Date:

E-Mail Address:

Home Phone: -- Contact Phone: --

Payment Information:

Acct. # --- Security Code Exp. Date /

Shipping Information:

First Name: Last Name:

Address:

City: State: Zip Code:

The security code can be found on the back of your card and is a 3 digit code. It can usually be found just after your account number on the strip going across the back of the card. The security code is used to verify the authenticity of your credit or debit card. Click here to pay by check or money order. If paying by PayPal, please click here.

By submitting this information, you are confirming that you have read and agree to all of the guidelines as set forth in the terms and conditions.