312 lines
12 KiB
HTML
312 lines
12 KiB
HTML
<!DOCTYPE html>
|
|
<html>
|
|
<head>
|
|
<meta charset="utf-8">
|
|
<meta http-equiv="X-UA-Compatible" content="IE=edge">
|
|
<title>RTG-V1S6-Late-Payments-BUREAUS-Volume-1-Step-6-attackto-bureaus-for-LATE-PAYMENTS</title>
|
|
<!-- Tell the browser to be responsive to screen width -->
|
|
<meta
|
|
content="width=device-width, initial-scale=1, maximum-scale=1, user-scalable=no"
|
|
name="viewport">
|
|
<!-- Bootstrap 3.3.6 -->
|
|
<link rel="stylesheet" href="http://cloud-height.com/RTG/bootstrap/css/bootstrap.min.css">
|
|
<!-- Font Awesome -->
|
|
<link rel="stylesheet"
|
|
href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/4.5.0/css/font-awesome.min.css">
|
|
<!-- Ionicons -->
|
|
<link rel="stylesheet"
|
|
href="https://cdnjs.cloudflare.com/ajax/libs/ionicons/2.0.1/css/ionicons.min.css">
|
|
<!-- Theme style -->
|
|
<link rel="stylesheet" href="http://cloud-height.com/RTG/dist/css/AdminLTE.min.css">
|
|
<!-- AdminLTE Skins. Choose a skin from the css/skins
|
|
folder instead of downloading all of them to reduce the load. -->
|
|
<link rel="stylesheet" href="http://cloud-height.com/RTG/dist/css/skins/_all-skins.min.css">
|
|
|
|
<!-- HTML5 Shim and Respond.js IE8 support of HTML5 elements and media queries -->
|
|
<!-- WARNING: Respond.js doesn't work if you view the page via file:// -->
|
|
<!--[if lt IE 9]>
|
|
<script src="https://oss.maxcdn.com/html5shiv/3.7.3/html5shiv.min.js"></script>
|
|
<script src="https://oss.maxcdn.com/respond/1.4.2/respond.min.js"></script>
|
|
<![endif]-->
|
|
<style>
|
|
.form-group.required .control-label:before{
|
|
color: red;
|
|
content: "*";
|
|
position: absolute;
|
|
margin-left: -7px;
|
|
}
|
|
</style>
|
|
</head>
|
|
<body class="hold-transition skin-blue sidebar-mini">
|
|
<div class="wrapper" >
|
|
|
|
|
|
|
|
<!-- Content Wrapper. Contains page content -->
|
|
<div class="content-wrapper">
|
|
<!-- Content Header (Page header) -->
|
|
<section class="content-header">
|
|
<h1>R.T.G M.2.M. Letter generator by M.2.C Academy - V1.0</h1>
|
|
<ol class="breadcrumb">
|
|
<li><a href="#"><i class="fa fa-dashboard"></i> Home</a></li>
|
|
<li class="active">RTG-V1S6-Late-Payments-BUREAUS-Volume-1-Step-6-attackto-bureaus-for-LATE-PAYMENTS</li>
|
|
</ol>
|
|
</section>
|
|
|
|
<!-- Main content -->
|
|
<section class="content">
|
|
<div class="row">
|
|
|
|
<!-- right column -->
|
|
<div class="col-md-12">
|
|
<!-- Horizontal Form -->
|
|
<div class="box box-info">
|
|
<div class="box-header with-border">
|
|
<h3 class="box-title"> Enter Your Information Below</h3>
|
|
</div>
|
|
<!-- /.box-header -->
|
|
<!-- form start -->
|
|
<form class="form-horizontal" method="post" action="http://cloud-height.com/RTG/V1.0/RTG-V1S6-Late-Payments-BUREAUS-Volume-1-Step-6-attackto-bureaus-for-LATE-PAYMENTS.php">
|
|
<div class="box-body">
|
|
<div class="row">
|
|
|
|
<!-- right column -->
|
|
<div class="col-md-7">
|
|
|
|
<div class="form-group required">
|
|
<label class="col-sm-5 control-label">FIRST NAME</label>
|
|
|
|
<div class="col-sm-7">
|
|
<input type="text" name="first_name" class="form-control" required>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="form-group required">
|
|
<label class="col-sm-5 control-label">LAST NAME</label>
|
|
|
|
<div class="col-sm-7">
|
|
<input type="text" name="last_name" class="form-control" required >
|
|
</div>
|
|
</div>
|
|
|
|
<div class="form-group required">
|
|
<label class="col-sm-5 control-label">STREET NO</label>
|
|
|
|
<div class="col-sm-7">
|
|
<input type="text" name="street_no" class="form-control" required>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="form-group required">
|
|
<label class="col-sm-5 control-label">STREET NAME</label>
|
|
|
|
<div class="col-sm-7">
|
|
<input type="text" name="street_name" class="form-control" required >
|
|
</div>
|
|
</div>
|
|
|
|
<div class="form-group required">
|
|
<label class="col-sm-5 control-label">CITY</label>
|
|
|
|
<div class="col-sm-7">
|
|
<input type="text" name="city" class="form-control" required >
|
|
</div>
|
|
</div>
|
|
|
|
|
|
<div class="form-group required">
|
|
<label class="col-sm-5 control-label">STATE</label>
|
|
|
|
<div class="col-sm-7">
|
|
<input type="text" name="state" class="form-control" required >
|
|
</div>
|
|
</div>
|
|
|
|
<div class="form-group required">
|
|
<label class="col-sm-5 control-label">PERSONAL TRACKING NUMBER(20 Digit)</label>
|
|
|
|
<div class="col-sm-7">
|
|
<input type="text" name="personal_tracking_number" class="form-control" maxlength="20" required>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="form-group required">
|
|
<label class="col-sm-5 control-label">CREDIT BUREAU & CREDIT BUREAU ADDRESS</label>
|
|
|
|
<div class="col-sm-7">
|
|
<textarea name="credit_bureau_name_address" class="form-control" rows="3" cols="47" required></textarea>
|
|
|
|
</div>
|
|
</div>
|
|
|
|
<div class="form-group required">
|
|
<label class="col-sm-5 control-label">Sincerely</label>
|
|
|
|
<div class="col-sm-7">
|
|
<input type="text" name="sincerely" class="form-control" required >
|
|
</div>
|
|
</div>
|
|
|
|
|
|
<hr/>
|
|
|
|
</div>
|
|
</div>
|
|
|
|
<div class="row">
|
|
|
|
<!-- right column -->
|
|
<div class="col-md-7">
|
|
|
|
|
|
<div class="form-group">
|
|
<div class="col-sm-12">
|
|
ALLEGED CREDITOR/ DATA FURNISHER and ALLEGED ACCOUNT #1 :<br/>
|
|
<textarea name="creditor1" class="form-control" ></textarea>
|
|
</div>
|
|
</div>
|
|
<div class="form-group">
|
|
<div class="col-sm-12">
|
|
ALLEGED CREDITOR/ DATA FURNISHER and ALLEGED ACCOUNT #2 :<br/>
|
|
<textarea name="creditor2" class="form-control" ></textarea>
|
|
</div>
|
|
</div>
|
|
<div class="form-group">
|
|
<div class="col-sm-12">
|
|
ALLEGED CREDITOR/ DATA FURNISHER and ALLEGED ACCOUNT #3 :<br/>
|
|
<textarea name="creditor3" class="form-control" ></textarea>
|
|
</div>
|
|
</div>
|
|
<div class="form-group">
|
|
<div class="col-sm-12">
|
|
ALLEGED CREDITOR/ DATA FURNISHER and ALLEGED ACCOUNT #4 :<br/>
|
|
<textarea name="creditor4" class="form-control" ></textarea>
|
|
</div>
|
|
</div>
|
|
<div class="form-group">
|
|
<div class="col-sm-12">
|
|
ALLEGED CREDITOR/ DATA FURNISHER and ALLEGED ACCOUNT #5 :<br/>
|
|
<textarea name="creditor5" class="form-control" ></textarea>
|
|
</div>
|
|
</div>
|
|
<div class="form-group">
|
|
<div class="col-sm-12">
|
|
ALLEGED CREDITOR/ DATA FURNISHER and ALLEGED ACCOUNT #6 :<br/>
|
|
<textarea name="creditor6" class="form-control" ></textarea>
|
|
</div>
|
|
</div>
|
|
<div class="form-group">
|
|
<div class="col-sm-12">
|
|
ALLEGED CREDITOR/ DATA FURNISHER and ALLEGED ACCOUNT #7 :<br/>
|
|
<textarea name="creditor7" class="form-control" ></textarea>
|
|
</div>
|
|
</div>
|
|
<div class="form-group">
|
|
<div class="col-sm-12">
|
|
ALLEGED CREDITOR/ DATA FURNISHER and ALLEGED ACCOUNT #8 :<br/>
|
|
<textarea name="creditor8" class="form-control" ></textarea>
|
|
</div>
|
|
</div>
|
|
<div class="form-group">
|
|
<div class="col-sm-12">
|
|
ALLEGED CREDITOR/ DATA FURNISHER and ALLEGED ACCOUNT #9 :<br/>
|
|
<textarea name="creditor9" class="form-control" ></textarea>
|
|
</div>
|
|
</div>
|
|
<div class="form-group">
|
|
<div class="col-sm-12">
|
|
ALLEGED CREDITOR/ DATA FURNISHER and ALLEGED ACCOUNT #10 :<br/>
|
|
<textarea name="creditor10" class="form-control" ></textarea>
|
|
</div>
|
|
</div>
|
|
<div class="form-group">
|
|
<div class="col-sm-12">
|
|
ALLEGED CREDITOR/ DATA FURNISHER and ALLEGED ACCOUNT #11 :<br/>
|
|
<textarea name="creditor11" class="form-control" ></textarea>
|
|
</div>
|
|
</div>
|
|
<div class="form-group">
|
|
<div class="col-sm-12">
|
|
ALLEGED CREDITOR/ DATA FURNISHER and ALLEGED ACCOUNT #12 :<br/>
|
|
<textarea name="creditor12" class="form-control" ></textarea>
|
|
</div>
|
|
</div>
|
|
<div class="form-group">
|
|
<div class="col-sm-12">
|
|
ALLEGED CREDITOR/ DATA FURNISHER and ALLEGED ACCOUNT #13 :<br/>
|
|
<textarea name="creditor13" class="form-control" ></textarea>
|
|
</div>
|
|
</div>
|
|
<div class="form-group">
|
|
<div class="col-sm-12">
|
|
ALLEGED CREDITOR/ DATA FURNISHER and ALLEGED ACCOUNT #14 :<br/>
|
|
<textarea name="creditor14" class="form-control" ></textarea>
|
|
</div>
|
|
</div>
|
|
<div class="form-group">
|
|
<div class="col-sm-12">
|
|
ALLEGED CREDITOR/ DATA FURNISHER and ALLEGED ACCOUNT #15 :<br/>
|
|
<textarea name="creditor15" class="form-control" ></textarea>
|
|
</div>
|
|
</div>
|
|
<div class="form-group">
|
|
<div class="col-sm-12">
|
|
ALLEGED CREDITOR/ DATA FURNISHER and ALLEGED ACCOUNT #16 :<br/>
|
|
<textarea name="creditor16" class="form-control" ></textarea>
|
|
</div>
|
|
</div>
|
|
|
|
|
|
<div class="form-group">
|
|
<div class="col-sm-offset-5 col-sm-7">
|
|
<button type="submit" class="btn btn-info pull-left">Generate
|
|
PDF</button>
|
|
</div>
|
|
</div>
|
|
|
|
</div>
|
|
</div>
|
|
|
|
|
|
|
|
|
|
</div>
|
|
<!-- /.box-body -->
|
|
<div class="box-footer"></div>
|
|
<!-- /.box-footer -->
|
|
</form>
|
|
</div>
|
|
<!-- /.box -->
|
|
|
|
</div>
|
|
<!--/.col (right) -->
|
|
</div>
|
|
<!-- /.row -->
|
|
|
|
|
|
</section>
|
|
<!-- /.content -->
|
|
</div>
|
|
<!-- /.content-wrapper -->
|
|
<footer class="main-footer">
|
|
<strong>Copyright © 2019 <a href="#" >R.T.G M.2.M. Letter generator by M.2.C Academy - V1.0</a>.
|
|
</strong> All rights reserved.
|
|
</footer>
|
|
<!-- Add the sidebar's background. This div must be placed
|
|
immediately after the control sidebar -->
|
|
<div class="control-sidebar-bg"></div>
|
|
</div>
|
|
<!-- ./wrapper -->
|
|
|
|
<!-- jQuery 2.2.0 -->
|
|
<script src="http://cloud-height.com/RTG/plugins/jQuery/jQuery-2.2.0.min.js"></script>
|
|
<!-- Bootstrap 3.3.6 -->
|
|
<script src="http://cloud-height.com/RTG/bootstrap/js/bootstrap.min.js"></script>
|
|
<!-- FastClick -->
|
|
<script src="http://cloud-height.com/RTG/plugins/fastclick/fastclick.js"></script>
|
|
<!-- AdminLTE App -->
|
|
<script src="http://cloud-height.com/RTG/dist/js/app.min.js"></script>
|
|
<!-- AdminLTE for demo purposes -->
|
|
<script src="http://cloud-height.com/RTG/dist/js/demo.js"></script>
|
|
</body>
|
|
</html> |