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Budget & Debt Counseling

Please fill in the blanks for the class registration form. When finished, please click the "continue" button. Thank you.

First Name:   A value is required.
Last Name:   A value is required.
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City:   A value is required.
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Bankruptcy Case Number:   A value is required.  
State filing bankrupcty in:  
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Spouse Information Required If Filing Jointly
Spouse First Name:  
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Spouse Email Address:  
Spouse Bankruptcy Case Number:  
   
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Affiliated with • Alliance of Information and Referral Systems • Council on Accreditation of Services for Families and Children • United Way of Southwest Alabama