Register Attorney

Attorney Registration

Welcome bankruptcy attorneys. Please take a moment and complete the following registration form to create your individual login to an existing attorney account with Credit.org. All fields are required and must be filled in to ensure the success of your registration to Credit.org’s Attorney Platform. If you need any assistance please feel free to contact us via email at info@bkhelp.org or by telephone at 888-425-3453, choose option #2, Attorney Relations Department

= Required

= Recommended

Personal Information
	Law Office Name:
	Title:
	First Name:
	Middle Name:
	Last Name:
	Primary Phone Number:	-	Extension:
	Secondary Phone Number:	-	Extension:
	Mobile Phone Number:	-	Provider:
	Fax Number:	-
	Email Address:
Language Preference
	Language Preference:

Branches

Assistants

Certification Delivery Method

Certification Delivery Method
Fax:	-
Email:
Mail:
Address1:
Address2:
Zip Code:
City:
State:

Credit Card Information

Card Number

Name on Card

First Name

Last Name

CCVC

Expiration Date

Billing address

Same as my address

Address1

Address2

Zip Code

City

State

Promo

Attorney Code


*Attorney Code is created for attorneys who would like to make payment for selected client(s) without having to Pre Register and Pre Authorize your credit card. This code is an encryption of a credit card of your choice and should only be distributed to those clients whose course(s) you would like to be charged for. You will have complete access to any client you have provide your code to.

Login Information
	User Name:

	Password:	*Password should be between 6 and 20 characters.
	Confirm Password: