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All information is confidential to us and will not be released to any third party, under any circumstances.
To complete the application process, simply click on the link below, which will take you to an "editable" PDF page that should be filled out and faxed back to us.

Enrollment Form
(PDF):

1.) Follow the link above which will take you to an editable .PDF page.
2.) Please fill out the form completely.
3.) Print 2 copies of the completed form.
4.) Fax a copy of the completed form to: 877.217.2283

You are done!

Your enrollment form will be processed and responded to by a representative at Goodbye Bills as soon as possible.

Goodbye Bills
4655 Cass St. Suite 405
San Diego, CA
92109

Phone: 877.521.2085
Fax: 877.217.2283
Email: info@goodbyebills.net


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