NOTICE CONCERNING FURNISHING OF NEGATIVE INFORMATION
Account Number:
Date:
From:
Fluz Fluz, LLC
234 Fifth Ave
2nd Floor
NY, NY 10001
Cardholder Name:
Cardholder Address:
Fluz Fluz LLC, may report information about your account to credit bureaus. Late payments, missed payments, or other defaults on your account may be reflected in your credit report.
I (We), the Accountholder(s), acknowledge receipt of this Notice Concerning Furnishing of Negative Information, and acknowledge that I (we) understand and agree to its provisions.
Signature(s): __________________
Date: __________________
