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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0, shrink-to-fit=no">
<title>Cheque- Credit Repair Bot</title>
<meta name="description" content="Credit Repair Bot">
<link rel="stylesheet" href="assets/bootstrap/css/bootstrap.min.css">
<link rel="stylesheet" href="https://fonts.googleapis.com/css?family=Inter:300italic,400italic,600italic,700italic,800italic,400,300,600,700,800&display=swap">
<link rel="stylesheet" href="https://fonts.googleapis.com/css?family=Aldrich&display=swap">
<link rel="stylesheet" href="https://fonts.googleapis.com/css?family=Roboto+Condensed:400,400i,700,700i">
<link rel="stylesheet" href="assets/css/swiper-icons.css">
<link rel="stylesheet" href="assets/css/animate.min.css">
<link rel="stylesheet" href="assets/css/Banner-Heading-Image-images.css">
<link rel="stylesheet" href="assets/css/Features-Image-icons.css">
<link rel="stylesheet" href="assets/css/Simple-Slider-swiper-bundle.min.css">
<link rel="stylesheet" href="assets/css/Simple-Slider.css">
<link rel="stylesheet" href="assets/css/Ultimate-Testimonial-Slider.css">
</head>
<body>
<nav class="navbar navbar-light navbar-expand-md sticky-top navbar-shrink py-3" id="mainNav" style="background: rgb(0,53,113);border-bottom-width: 1px;border-bottom-color: rgba(255,255,255,0.1);">
<div class="container"><a class="navbar-brand d-flex align-items-center" href="index.html"><span class="bs-icon-md bs-icon-circle bs-icon-primary shadow d-flex justify-content-center align-items-center me-2 bs-icon" style="background: rgba(16,42,71,0.79);"><img data-bss-hover-animate="pulse" width="50" height="50" src="assets/img/images/LOGO%20ICON.png"></span><span data-bss-hover-animate="pulse" style="color: rgba(255,255,255,0.9);">Credit Repair Bot</span></a><button data-bs-toggle="collapse" class="navbar-toggler" data-bs-target="#navcol-1" style="border-color: var(--bs-link-hover-color);"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" fill="currentColor" viewBox="0 0 16 16" class="bi bi-list" style="font-size: 30px;color: var(--bs-gray-500);">
<path fill-rule="evenodd" d="M2.5 12a.5.5 0 0 1 .5-.5h10a.5.5 0 0 1 0 1H3a.5.5 0 0 1-.5-.5zm0-4a.5.5 0 0 1 .5-.5h10a.5.5 0 0 1 0 1H3a.5.5 0 0 1-.5-.5zm0-4a.5.5 0 0 1 .5-.5h10a.5.5 0 0 1 0 1H3a.5.5 0 0 1-.5-.5z"></path>
</svg></button>
<div class="collapse navbar-collapse" id="navcol-1">
<ul class="navbar-nav mx-auto">
<li class="nav-item"><a class="nav-link" href="index.html" style="color: rgba(255,255,255,0.9);"><span style="font-weight: normal !important;">Home</span></a></li>
<li class="nav-item" style="color: #ffffff;"><a class="nav-link" href="features.html" style="color: #ffffff;">Features</a></li>
<li class="nav-item"><a class="nav-link" href="pricing.html" style="color: #ffffff;"><span style="font-weight: normal !important;">Pricing</span></a></li>
<li class="nav-item" style="color: #ffffff;"><a class="nav-link" style="color: #ffffff;" href="faq.html"><span style="font-weight: normal !important;">FAQ</span></a></li>
<li class="nav-item" style="color: #ffffff;"><a class="nav-link" href="contacts.html" style="color: #ffffff;"><span style="font-weight: normal !important;">Contact Us</span></a></li>
</ul>
<div class="dropdown btn btn-primary shadow-sm" style="background: rgb(12,71,137);margin-right: 10px;"><a class="dropdown-toggle" aria-expanded="false" data-bs-toggle="dropdown" data-bss-hover-animate="flash" href="#" style="color: #ffffff;--bs-primary: #003571;--bs-primary-rgb: 0,53,113;"><span style="font-weight: normal !important;">Get Started</span></a>
<div class="dropdown-menu" style="background: rgba(0,53,113,0.85);margin: 7px 0px 0px;padding-right: -46px;"><a class="dropdown-item" href="personal-form.html" style="color: rgb(255,255,255);background: rgba(255,255,255,0);">Personal</a><a class="dropdown-item" href="business-form.html" style="color: rgb(255,255,255);background: rgba(255,255,255,0);">Business</a></div>
</div>
<div class="dropdown btn btn-primary shadow-sm" style="background: rgb(12,71,137);"><a class="dropdown-toggle" aria-expanded="false" data-bs-toggle="dropdown" data-bss-hover-animate="flash" href="#" style="color: #ffffff;--bs-primary: #003571;--bs-primary-rgb: 0,53,113;"><span style="font-weight: normal !important;">Sign In</span></a>
<div class="dropdown-menu" style="background: rgba(0,53,113,0.85);margin: 7px 0px 0px;padding-right: -46px;"><a class="dropdown-item" href="process.html" style="color: rgb(255,255,255);background: rgba(255,255,255,0);">Personal</a><a class="dropdown-item" href="process.html" style="color: rgb(255,255,255);background: rgba(255,255,255,0);">Business</a><a class="dropdown-item" href="process.html" style="color: rgb(255,255,255);background: rgba(255,255,255,0);">Partners</a></div>
</div>
</div>
</div>
</nav>
<section class="py-5">
<div class="container py-5">
<div class="accordion" role="tablist" id="accordion-1">
<div class="accordion-item">
<h2 class="accordion-header" role="tab"><button class="accordion-button" type="button" data-bs-toggle="collapse" data-bs-target="#accordion-1 .item-1" aria-expanded="true" aria-controls="accordion-1 .item-1" style="background: rgb(0,80,170);color: rgb(255,255,255);">Personal Information</button></h2>
<div class="accordion-collapse collapse show item-1 show item-1 show item-1" role="tabpanel" data-bs-parent="#accordion-1">
<div class="accordion-body">
<h4 class="text-center">Provide us the following information</h4>
<h6 class="text-center" style="margin-bottom: 20px;">Credit repair bot will issue no more than 6 at time</h6>
<div class="mt-1">
<div class="row">
<div class="col"><label class="form-label form-label form-label form-label form-label form-label form-label">Requester:</label><input type="text" id="full_name-2" class="form-control form-control form-control form-control form-control" name="cheque_name"></div>
<div class="col"><label class="form-label form-label form-label form-label form-label form-label form-label">Payable to:</label><input type="text" id="full_name-3" class="form-control form-control form-control form-control form-control" name="cheque_name"></div>
</div>
</div>
<div class="mt-1"><label class="form-label form-label form-label form-label form-label form-label form-label">Client name:</label><input type="text" id="full_name" class="form-control form-control form-control form-control form-control" name="client_name"></div>
<div class="mt-2"><label class="form-label form-label form-label form-label form-label form-label form-label">Name on account:</label><input type="text" id="address" class="form-control form-control form-control form-control form-control" name="name_account"></div>
<div class="mt-2"><label class="form-label form-label form-label form-label form-label form-label form-label">Address:</label><input type="text" id="phone" class="form-control form-control form-control form-control form-control" name="address"></div>
<div class="mt-1"><label class="form-label form-label form-label form-label form-label form-label form-label">Bank name:</label><input type="text" id="full_name-1" class="form-control form-control form-control form-control form-control" name="bank_name"></div>
<div class="mt-2"><label class="form-label form-label form-label form-label form-label form-label form-label">Routing number:</label><input type="text" id="phone-1" class="form-control form-control form-control form-control form-control" name="bank_routing"></div>
<div class="mt-2"><label class="form-label form-label form-label form-label form-label form-label form-label">Account number:</label><input type="text" id="phone-2" class="form-control form-control form-control form-control form-control" name="phone"></div>
<div class="mt-2"><label class="form-label form-label form-label form-label form-label form-label form-label">First check amount:</label><input type="text" id="phone-3" class="form-control form-control form-control form-control form-control" name="amount"></div>
<div class="mt-2"><label class="form-label form-label form-label form-label form-label form-label form-label">Date of check: </label><input class="form-control" type="date"></div>
<div class="mt-2"><label class="form-label form-label form-label form-label form-label form-label form-label">Each additional check amounts:</label><input type="text" id="phone-4" class="form-control form-control form-control form-control form-control" name="amount"></div>
<div class="mt-2"><label class="form-label form-label form-label form-label form-label form-label form-label">Requiring:</label><input class="form-control" type="date"></div>
<div class="mt-2"><label class="form-label form-label form-label form-label form-label form-label form-label">Note: Please ensure that you provide accurate information for processing. Thank you for your cooperation.</label></div>
<div class="row mb-5" style="margin-top: 20px;">
<div class="col-md-8 col-xl-6 text-center mx-auto"><button class="btn btn-primary" type="submit">Submit</button></div>
</div>
</div>
</div>
</div>
</div>
</div>
</section>
<footer style="background: #003571;color: rgb(255,255,255);">
<div class="container py-4 py-lg-5">
<div class="text-muted d-flex justify-content-between align-items-center pt-3">
<p class="mb-0" style="color: rgb(218,230,252);text-align: center;font-size: 13px;">Copyright © 2023 Credit Repair Bot</p>
<ul class="list-inline text-center mb-0">
<li class="list-inline-item"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" fill="currentColor" viewBox="0 0 16 16" class="bi bi-facebook" style="min-height: 25px;min-width: 25px;max-width: 50px;max-height: 20px;color: var(--bs-white);">
<path d="M16 8.049c0-4.446-3.582-8.05-8-8.05C3.58 0-.002 3.603-.002 8.05c0 4.017 2.926 7.347 6.75 7.951v-5.625h-2.03V8.05H6.75V6.275c0-2.017 1.195-3.131 3.022-3.131.876 0 1.791.157 1.791.157v1.98h-1.009c-.993 0-1.303.621-1.303 1.258v1.51h2.218l-.354 2.326H9.25V16c3.824-.604 6.75-3.934 6.75-7.951z"></path>
</svg></li>
<li class="list-inline-item"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" fill="currentColor" viewBox="0 0 16 16" class="bi bi-twitter" style="min-height: 25px;min-width: 25px;max-width: 50px;max-height: 20px;color: var(--bs-white);">
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</svg></li>
<li class="list-inline-item"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" fill="currentColor" viewBox="0 0 16 16" class="bi bi-instagram" style="min-height: 25px;min-width: 25px;max-width: 50px;max-height: 20px;color: var(--bs-white);">
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</div>
</footer>
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