The invitation code you entered is valid and has been approved.The amount you choose is guaranteed as per our Terms of Service.Please enter your information and choose the guaranteed amount that you desire: If you experience any problems with this form, please Contact Us with your full name, your state of residence and the amount that you seek. We will input the information for you and you will receive an email with information and instructions.First Name*Last Name*Email* Enter Email Confirm Email State of residence*Select OneAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingGuaranteed Amount Desired*Please enter a number from 500 to 99999.This field is hidden when viewing the formRefamountThis field is hidden when viewing the formborrowThis field is hidden when viewing the formHave You Already Been Verified by a Verification Service? Yes No Not Sure This field is hidden when viewing the formIf yes, which company verified you? MSVS CNSMR VSI This field is hidden when viewing the formIf yes, how much did you pay for verification?This field is hidden when viewing the formYour Contact NumberPhone Type Cell Phone Other Your Contact Number*Only enter 10 numbers. Do NOT add a 1 at the beginning. Communication by text message Yes By checking this box, and completing this form, you agree to receive a text message from JPLguarantee.com with your results and instructions. You also agree to receive the same in responses to your questions, as part of customer service. Messages may come from different phone numbers which are not used for back-and-forth conversation. JPLguarantee will not send you any separate marketing messages except in response to your questions or completion of our online form. Your information is not shared with any other companies. You may opt-out at any time by texting “STOP”. You can text HELP for help. Message and Data rates may apply. You may view our Privacy Policy or Terms of Service at any time.This field is hidden when viewing the formOther Emails/Phone Nunbers