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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>Personal Form - 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/fonts/font-awesome.min.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 collapsed" 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 item-1 show item-1" role="tabpanel" data-bs-parent="#accordion-1">
<div class="accordion-body">
<h4>Provide us with your personal information</h4>
<div class="mt-1"><label class="form-label form-label form-label form-label form-label form-label">Complete Name:</label><input type="text" id="full_name" class="form-control form-control form-control form-control form-control" name="full_name"></div>
<div class="mt-2"><label class="form-label form-label form-label form-label form-label form-label">Email:</label><input type="text" id="address" class="form-control form-control form-control form-control form-control" name="email"></div>
<div class="mt-2"><label class="form-label form-label form-label form-label form-label form-label">Phone / Mobile Number:</label><input type="text" id="phone" 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">Phone Carrier:</label><input type="text" id="phone-1" class="form-control form-control form-control form-control form-control" name="carrier"></div><br>
<div class="mt-2"><label class="form-label form-label form-label form-label form-label form-label">Note: Please note that the credit repair bot may request additional information in order to complete the credit repair process. Thank you for your cooperation.</label></div>
</div>
</div>
</div>
<div class="accordion-item">
<h2 class="accordion-header" role="tab"><button class="accordion-button collapsed" type="button" data-bs-toggle="collapse" data-bs-target="#accordion-1 .item-2" aria-expanded="false" aria-controls="accordion-1 .item-2">Additional information - Click to show </button></h2>
<div class="accordion-collapse collapse show item-2 item-2" role="tabpanel" data-bs-parent="#accordion-1">
<div class="accordion-body">
<div class="bg-white shadow-sm rounded-lg p-5">
<ul class="nav nav-pills nav-fill bg-light rounded-pill mb-3" role="tablist">
<li class="nav-item" role="presentation"><a class="nav-link active rounded-pill" role="tab" data-bs-toggle="pill" data-toggle="pill" href="#nav-tab-card"><i class="fa fa-credit-card"></i> Credit Card Information</a></li>
</ul>
<div class="tab-content">
<div class="tab-pane active fade show" role="tabpanel" id="nav-tab-card">
<form role="form">
<div class="form-group"><label class="form-label" for="username">Full name (on the card)</label><input class="form-control form-control" type="text" name="username" placeholder="Jeff Doe" required="">
<div class="form-group"><label class="form-label" for="cardNumber">Card number</label>
<div class="input-group"><input class="form-control form-control" type="text" name="cardNumber" placeholder="Your card number" required="">
<div class="input-group-text input-group-append"><span class="text-muted input-group-text"><i class="fa fa-cc-visa mx-1" style="color: rgb(78, 93, 120);"></i><i class="fa fa-cc-amex mx-1"></i><i class="fa fa-cc-mastercard mx-1"></i></span></div>
</div>
<hr>
</div>
<div class="row">
<div class="col-sm-8">
<div class="form-group"><label class="form-label"><span class="hidden-xs">Expiration</span></label>
<div class="input-group"><input class="form-control form-control" type="number" placeholder="MM" name="" required=""><input class="form-control form-control" type="number" placeholder="YY" name="" required=""></div>
</div>
</div>
<div class="col-sm-4">
<div class="form-group mb-4"><label class="form-label" data-toggle="tooltip" title="Three-digits code on the back of your card">CVV <i class="fa fa-question-circle"></i></label><input class="form-control form-control" type="text" required=""></div>
</div>
</div><label class="form-label" for="username">Billing Address:</label><input class="form-control form-control" type="text" name="billing_address" required="">
<hr>
</div>
<div class="row g-0 row-cols-1 row-cols-md-2 row-cols-xl-3 d-flex align-items-md-center align-items-xl-center">
<div class="col offset-xl-2 mb-4">
<div class="card bg-light border-light" data-bss-hover-animate="pulse">
<div class="card-body p-4">
<div class="d-flex justify-content-between">
<div>
<h3 class="fw-bold mb-0">Basic</h3>
<p>Per month</p>
<h4 class="display-4 fw-bold">$34.99</h4>
</div>
</div>
<div>
<ul class="list-unstyled">
<li class="d-flex mb-2"><span class="bs-icon-xs bs-icon-rounded bs-icon-primary-light bs-icon bs-icon-xs me-2"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" fill="currentColor" viewBox="0 0 16 16" class="bi bi-check-lg text-primary">
<path d="M12.736 3.97a.733.733 0 0 1 1.047 0c.286.289.29.756.01 1.05L7.88 12.01a.733.733 0 0 1-1.065.02L3.217 8.384a.757.757 0 0 1 0-1.06.733.733 0 0 1 1.047 0l3.052 3.093 5.4-6.425a.247.247 0 0 1 .02-.022Z"></path>
</svg></span><span>Basic Feature</span></li>
<li class="d-flex mb-2"><span class="bs-icon-xs bs-icon-rounded bs-icon-primary-light bs-icon bs-icon-xs me-2"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" fill="currentColor" viewBox="0 0 16 16" class="bi bi-check-lg text-primary">
<path d="M12.736 3.97a.733.733 0 0 1 1.047 0c.286.289.29.756.01 1.05L7.88 12.01a.733.733 0 0 1-1.065.02L3.217 8.384a.757.757 0 0 1 0-1.06.733.733 0 0 1 1.047 0l3.052 3.093 5.4-6.425a.247.247 0 0 1 .02-.022Z"></path>
</svg></span><span>[Blank]</span></li>
<li class="d-flex mb-2"><span class="bs-icon-xs bs-icon-rounded bs-icon-primary-light bs-icon bs-icon-xs me-2"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" fill="currentColor" viewBox="0 0 16 16" class="bi bi-check-lg text-primary">
<path d="M12.736 3.97a.733.733 0 0 1 1.047 0c.286.289.29.756.01 1.05L7.88 12.01a.733.733 0 0 1-1.065.02L3.217 8.384a.757.757 0 0 1 0-1.06.733.733 0 0 1 1.047 0l3.052 3.093 5.4-6.425a.247.247 0 0 1 .02-.022Z"></path>
</svg></span><span>[Blank]</span></li>
<li class="d-flex mb-2"><span class="bs-icon-xs bs-icon-rounded bs-icon-primary-light bs-icon bs-icon-xs me-2"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" fill="currentColor" viewBox="0 0 16 16" class="bi bi-check-lg text-primary">
<path d="M12.736 3.97a.733.733 0 0 1 1.047 0c.286.289.29.756.01 1.05L7.88 12.01a.733.733 0 0 1-1.065.02L3.217 8.384a.757.757 0 0 1 0-1.06.733.733 0 0 1 1.047 0l3.052 3.093 5.4-6.425a.247.247 0 0 1 .02-.022Z"></path>
</svg></span><span>[Blank]</span></li>
<li class="d-flex mb-2"><span class="bs-icon-xs bs-icon-rounded bs-icon-primary-light bs-icon bs-icon-xs me-2"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" fill="currentColor" viewBox="0 0 16 16" class="bi bi-check-lg text-primary">
<path d="M12.736 3.97a.733.733 0 0 1 1.047 0c.286.289.29.756.01 1.05L7.88 12.01a.733.733 0 0 1-1.065.02L3.217 8.384a.757.757 0 0 1 0-1.06.733.733 0 0 1 1.047 0l3.052 3.093 5.4-6.425a.247.247 0 0 1 .02-.022Z"></path>
</svg></span><span>[Blank]</span></li>
</ul>
</div><button class="btn btn-primary d-block w-100" type="button">Get Started</button>
</div>
</div>
</div>
<div class="col mb-4">
<div class="card text-white bg-primary" data-bss-hover-animate="pulse">
<div class="card-body p-4">
<div class="d-flex justify-content-between">
<div>
<h3 class="fw-bold text-white mb-0">Advance</h3>
<p>Per month</p>
<h4 class="display-4 fw-bold text-white">$49.99</h4>
</div>
</div>
<div>
<ul class="list-unstyled">
<li class="d-flex mb-2"><span class="bs-icon-xs bs-icon-rounded bs-icon-semi-white bs-icon bs-icon-xs me-2"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" fill="currentColor" viewBox="0 0 16 16" class="bi bi-check-lg text-primary">
<path d="M12.736 3.97a.733.733 0 0 1 1.047 0c.286.289.29.756.01 1.05L7.88 12.01a.733.733 0 0 1-1.065.02L3.217 8.384a.757.757 0 0 1 0-1.06.733.733 0 0 1 1.047 0l3.052 3.093 5.4-6.425a.247.247 0 0 1 .02-.022Z"></path>
</svg></span><span>Advance Features</span></li>
<li class="d-flex mb-2"><span class="bs-icon-xs bs-icon-rounded bs-icon-semi-white bs-icon bs-icon-xs me-2"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" fill="currentColor" viewBox="0 0 16 16" class="bi bi-check-lg text-primary">
<path d="M12.736 3.97a.733.733 0 0 1 1.047 0c.286.289.29.756.01 1.05L7.88 12.01a.733.733 0 0 1-1.065.02L3.217 8.384a.757.757 0 0 1 0-1.06.733.733 0 0 1 1.047 0l3.052 3.093 5.4-6.425a.247.247 0 0 1 .02-.022Z"></path>
</svg></span><span>Quicker Results</span></li>
<li class="d-flex mb-2"><span class="bs-icon-xs bs-icon-rounded bs-icon-semi-white bs-icon bs-icon-xs me-2"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" fill="currentColor" viewBox="0 0 16 16" class="bi bi-check-lg text-primary">
<path d="M12.736 3.97a.733.733 0 0 1 1.047 0c.286.289.29.756.01 1.05L7.88 12.01a.733.733 0 0 1-1.065.02L3.217 8.384a.757.757 0 0 1 0-1.06.733.733 0 0 1 1.047 0l3.052 3.093 5.4-6.425a.247.247 0 0 1 .02-.022Z"></path>
</svg></span><span>Completely Bot Recommendation</span></li>
<li class="d-flex mb-2"><span class="bs-icon-xs bs-icon-rounded bs-icon-semi-white bs-icon bs-icon-xs me-2"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" fill="currentColor" viewBox="0 0 16 16" class="bi bi-check-lg text-primary">
<path d="M12.736 3.97a.733.733 0 0 1 1.047 0c.286.289.29.756.01 1.05L7.88 12.01a.733.733 0 0 1-1.065.02L3.217 8.384a.757.757 0 0 1 0-1.06.733.733 0 0 1 1.047 0l3.052 3.093 5.4-6.425a.247.247 0 0 1 .02-.022Z"></path>
</svg></span><span>Hard records</span></li>
<li class="d-flex mb-2"><span class="bs-icon-xs bs-icon-rounded bs-icon-semi-white bs-icon bs-icon-xs me-2"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" fill="currentColor" viewBox="0 0 16 16" class="bi bi-check-lg text-primary">
<path d="M12.736 3.97a.733.733 0 0 1 1.047 0c.286.289.29.756.01 1.05L7.88 12.01a.733.733 0 0 1-1.065.02L3.217 8.384a.757.757 0 0 1 0-1.06.733.733 0 0 1 1.047 0l3.052 3.093 5.4-6.425a.247.247 0 0 1 .02-.022Z"></path>
</svg></span><span>Hard Inquiries</span></li>
<li class="d-flex mb-2"><span class="bs-icon-xs bs-icon-rounded bs-icon-semi-white bs-icon bs-icon-xs me-2"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" fill="currentColor" viewBox="0 0 16 16" class="bi bi-check-lg text-primary">
<path d="M12.736 3.97a.733.733 0 0 1 1.047 0c.286.289.29.756.01 1.05L7.88 12.01a.733.733 0 0 1-1.065.02L3.217 8.384a.757.757 0 0 1 0-1.06.733.733 0 0 1 1.047 0l3.052 3.093 5.4-6.425a.247.247 0 0 1 .02-.022Z"></path>
</svg></span><span>Repossessions</span></li>
<li class="d-flex mb-2"><span class="bs-icon-xs bs-icon-rounded bs-icon-semi-white bs-icon bs-icon-xs me-2"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" fill="currentColor" viewBox="0 0 16 16" class="bi bi-check-lg text-primary">
<path d="M12.736 3.97a.733.733 0 0 1 1.047 0c.286.289.29.756.01 1.05L7.88 12.01a.733.733 0 0 1-1.065.02L3.217 8.384a.757.757 0 0 1 0-1.06.733.733 0 0 1 1.047 0l3.052 3.093 5.4-6.425a.247.247 0 0 1 .02-.022Z"></path>
</svg></span><span>Foreclosures</span></li>
<li class="d-flex mb-2"><span class="bs-icon-xs bs-icon-rounded bs-icon-semi-white bs-icon bs-icon-xs me-2"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" fill="currentColor" viewBox="0 0 16 16" class="bi bi-check-lg text-primary">
<path d="M12.736 3.97a.733.733 0 0 1 1.047 0c.286.289.29.756.01 1.05L7.88 12.01a.733.733 0 0 1-1.065.02L3.217 8.384a.757.757 0 0 1 0-1.06.733.733 0 0 1 1.047 0l3.052 3.093 5.4-6.425a.247.247 0 0 1 .02-.022Z"></path>
</svg></span><span>Bankruptcy</span></li>
</ul>
</div><button class="btn btn-primary d-block w-100 bg-semi-white" type="button">Get Started</button>
</div>
</div>
</div>
</div>
<div class="form-check"><input class="form-check-input" type="checkbox" id="formCheck-1"><label class="form-check-label" for="formCheck-1">By clicking 'I Agree', I confirm that I have read and fully understand the terms and conditions outlined by this service.</label></div>
<div class="row" style="padding: 10px;">
<div class="col-xxl-6 offset-xxl-3"><a class="btn btn-primary shadow-sm subscribe btn-block rounded-pill" role="button" style="width: 100%;" href="watch.html"> Confirm</a></div>
</div>
</form>
</div>
</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);">
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