New Customer Application

We are only able to provide loans to residents of British Columbia.

First Name *

If you're human leave this blank:

Last Name *

Date Of Birth *

Email *

Phone *

Amount Requested *

Address *

City *

Postal Code *

Income Source *

Employer Name (If employed)

Employer Address

Position

Employer Phone Number

Income frequency *

Average Income per pay period *

Paid by (any income received)

Reference Name 1 *

Relation *

Phone Number *

Reference Name 2 *

Relation *

Phone Number *

How did you hear about us *

60 Days Bank Statement *

We need your banking history showing most recent deposit of your income. Please login to your online banking through Inverite and request they send us your transaction history directly from the bank.

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Disclaimer

British Columbia: License 64377

Maximum charges permitted in British Columbia

for a payday loan: 15% of the principal. We charge: 15% of the principal.

For a $300 loan for 14 days:

Total cost of borrowing = $45

Annual Percentage Rate = 391.07%

New Customer Application

Disclaimer

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