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We are a primary lender. Not a secondary lender.
Please note: For a Spanish version of this form, please click here.
Click here For a printer friendly version of the application.

First Name:		Last Name:
Email:		Confirm Email:
Home Phone #:
State of Residence:
Loans are not available to residents of CO, DC, GA, HI, ID, KS, NC, OK, PA, VA or WV
*Do You Need FASTCASH?*
Amount Requested:

Yes	No
		Have you ever had a loan with us before?
		Have you been employed with the same company for 3 consecutive months?
		Do you take home at least $1000 a month after taxes or $600 a month from government subsidy?
		Do you have an open and valid bank account?
		Do you have direct deposit on your bank account?
		Are you a US resident & at least 18 years of age?
		Are you a member of the military or an eligible dependent?

A short-term advance provides the cash needed to meet an immediate short-term cash flow problem. It is not a solution for long term financial problems for which longer term financing may be more appropriate. You may want to discuss your financial situation with a credit counseling service in your community. You will be charged additional fees if you renew/extend the advance. Any borrower does have the right of recission. There will be no charge if you change your mind and return the amount borrowed on the same business day the loan was received.